CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Essentia Health St Marys - Detroit Lakes

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $96
  • Cash Discount Price: $137
  • vs. Medicare Baseline: 5.71x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Essentia Health St Marys - Detroit Lakes is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.71x the Medicare baseline. Located in 1027 Washington Ave, Detroit Lakes, MN.
Cash / Self-Pay
$137

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $137 (815%)
Insurance Median: $96 (571%)
Cash: $137 (815% of Medicare)
Ins. Median: $96 (571% 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 571% of the Medicare baseline (a markup of 471%). 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.

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
Advocare/Security Health $17 101%
Blue Cross Blue Shield $17 - $163 101%
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 - $180 101%
Sanford Healthplan $54 - $97 321%
Healthpartners Care Pmap $83 494%
Medica Uplan $136 810%
Ucare $141 839%
Healthpartners $144 - $157 857%
Medica $149 - $166 887%
Wea $154 - $165 917%
Cigna $157 935%
Healthpartners Pcc Prime $157 935%
America'S Ppo $166 988%
Medica Choice $171 1018%
Wps $178 - $180 1060%
Aetna $182 1083%
Healtheos $184 1095%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1027 Washington Ave, Detroit Lakes, MN 56501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals