CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Ascension Providence Rochester Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $17
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Ascension Providence Rochester Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.01x the Medicare baseline. Located in 1101 W University Drive, Rochester, MI.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $22 (131%)
Insurance Median: $17 (101%)
Cash: $22 (131% of Medicare)
Ins. Median: $17 (101% 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
Bluecaid $9 54%
Medicaid / KanCare $9 54%
Total Health Care Hmo $9 54%
Smarthealth $15 89%
Blue Cross Blue Shield $17 - $22 101%
Hap Senior Plus $17 101%
Humana $17 101%
Medicare (plans) $17 - $18 101%
Priority Health Advantage (Mcr) $17 101%
- None - $18 107%
Aetna $20 119%
Meridian Health Plan $21 125%
Blue Care Network $22 131%
Hap $22 131%
Mva $32 190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1101 W University Drive, Rochester, MI 48307
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals