CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Essentia Health Holy Trinity Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $56
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 3.33x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Essentia Health Holy Trinity Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.33x the Medicare baseline. Located in 115 Second Street West, Box 157, Graceville, MN.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $107 (637%)
Insurance Median: $56 (333%)
Cash: $107 (637% of Medicare)
Ins. Median: $56 (333% 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 333% of the Medicare baseline (a markup of 233%). 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
Healthpartners Care Pmap $15 - $56 89%
Medica Access $16 - $90 95%
Advocare/Security Health $17 - $90 101%
Blue Cross Blue Shield $17 - $126 101%
Freedom Blue Ppo $17 - $90 101%
Healthpartners Care Msho / Mcr Adv $17 - $90 101%
Imcare Msho Pcc Prime $17 - $90 101%
Imcare Msho Ref Req $17 - $90 101%
Itasca Med Care $17 101%
Medica Advantage Solutions $17 - $90 101%
Medica Msho/Dual Solutions $17 - $90 101%
Medica Prime Solution Group $17 - $90 101%
Medicare (plans) $17 - $90 101%
Nd Va Administration $17 - $90 101%
Platinum Blue/Vantage Blue $17 - $90 101%
Primewest $17 101%
Primewest Msho $17 - $90 101%
Sanford Healthplan $17 - $65 101%
Secure Blue Msho $17 - $90 101%
Ubh Cost Plan $17 - $90 101%
Ubh Msho $17 - $90 101%
Ucare Msho $17 - $90 101%
UnitedHealthcare $17 - $131 101%
Healthpartners $24 - $96 143%
Cigna $26 - $96 155%
Healthpartners Pcc Prime $26 - $96 155%
Ucare $26 - $95 155%
Wea $28 - $112 167%
America'S Ppo $30 - $112 179%
Medica $32 - $127 190%
Medica Uplan $32 - $120 190%
Aetna $33 - $123 196%
Wps $33 - $122 196%
Blue Plus Pmap Pcc Prime $34 - $126 202%
Medica Choice $35 - $131 208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Second Street West, Box 157, Graceville, MN 56240
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals