CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Essentia Health Virginia

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $70
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 4.17x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Essentia Health Virginia is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.17x the Medicare baseline. Located in 901 9Th Street North, Virginia, MN.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $94 (560%)
Insurance Median: $70 (417%)
Cash: $94 (560% of Medicare)
Ins. Median: $70 (417% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 417% of the Medicare baseline (a markup of 317%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Advocare/Security Health $17 101%
Blue Cross Blue Shield $17 - $127 101%
Freedom Blue Ppo $17 101%
Healthpartners Care Msho / Mcr Adv $17 101%
Imcare Msho Pcc Prime $17 101%
Imcare Msho Ref Req $17 101%
Itasca Med Care $17 101%
Medica Advantage Solutions $17 101%
Medica Msho/Dual Solutions $17 101%
Medica Prime Solution Group $17 101%
Medicare (plans) $17 101%
Nd Va Administration $17 101%
Platinum Blue/Vantage Blue $17 101%
Primewest $17 101%
Primewest Msho $17 101%
Secure Blue Msho $17 101%
Ubh Cost Plan $17 101%
Ubh Msho $17 101%
Ucare Msho $17 101%
UnitedHealthcare $17 - $131 101%
Medica Access $34 202%
Sanford Healthplan $54 - $67 321%
Healthpartners Care Pmap $59 351%
Blue Plus Pmap Pcc Prime $70 - $100 417%
Medica $95 - $105 565%
Medica Uplan $95 565%
Ucare $98 583%
Healthpartners $106 - $135 631%
Wea $107 - $115 637%
Medica Choice $109 649%
America'S Ppo $115 685%
Security Health $115 685%
Wps $124 - $125 738%
Aetna $127 756%
Cigna $134 - $135 798%
Healthpartners Pcc Prime $134 - $135 798%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 9Th Street North, Virginia, MN 55792
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals