CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Promedica Monroe Regional Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $21
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Promedica Monroe Regional Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.25x the Medicare baseline. Located in 718 N Macomb St, Monroe, MI.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$16.8

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $16.8 (100%)
Cash / Self-Pay: $73 (435%)
Insurance Median: $21 (125%)
Cash: $73 (435% of Medicare)
Ins. Median: $21 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $16.8 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $9 - $63 54%
Meridian $9 54%
Priority Health $9 - $62 54%
Aetna $10 - $16 60%
Molina Healthcare Of Michigan $10 60%
UnitedHealthcare $10 - $92 60%
Amerihealth $15 89%
Health Alliance Plan $16 - $21 95%
Paramount Healthcare Inc $16 - $86 95%
Humana $17 101%
Veterans Affairs $17 101%
Frontpath $66 393%
Encore Health Network $79 470%
Health Ohio Network, Llc $79 470%
Cofinity $81 482%
Multiplan $102 607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 718 N Macomb St, Monroe, MI 48162
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals