CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Essentia Health Northern Pines Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $57
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 3.39x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Essentia Health Northern Pines Medical Center is $57. 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 3.39x the Medicare baseline. Located in 5211 Highway 110, Aurora, MN.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $57 (339%)
Cash: $107 (637% of Medicare)
Ins. Median: $57 (339% 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 339% of the Medicare baseline (a markup of 239%). 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 $15 - $57 89%
Blue Cross Blue Shield $15 - $116 89%
Blue Plus Pmap Pcc Prime $15 - $80 89%
Freedom Blue Ppo $15 - $57 89%
Healthpartners Care Msho / Mcr Adv $15 - $57 89%
Imcare Msho Pcc Prime $15 - $57 89%
Imcare Msho Ref Req $15 - $57 89%
Medica Advantage Solutions $15 - $57 89%
Medica Msho/Dual Solutions $15 - $57 89%
Medica Prime Solution Group $15 - $57 89%
Medicare (plans) $15 - $57 89%
Nd Va Administration $15 - $57 89%
Platinum Blue/Vantage Blue $15 - $57 89%
Primewest Msho $15 - $57 89%
Secure Blue Msho $15 - $57 89%
Ubh Cost Plan $15 - $57 89%
Ubh Msho $15 - $57 89%
Ucare Msho $15 - $57 89%
UnitedHealthcare $15 - $131 89%
Healthpartners Care Pmap $16 - $58 95%
Medica Access $16 - $90 95%
Itasca Med Care $17 101%
Primewest $17 101%
Sanford Healthplan $17 - $65 101%
Healthpartners $26 - $116 155%
Ucare $26 - $95 155%
Medica $28 - $115 167%
Medica Uplan $28 - $104 167%
Wea $28 - $112 167%
America'S Ppo $30 - $112 179%
Cigna $30 - $116 179%
Healthpartners Pcc Prime $30 - $116 179%
Medica Choice $32 - $119 190%
Aetna $33 - $123 196%
Wps $33 - $122 196%
Healtheos $34 - $125 202%
Security Health $39 - $145 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5211 Highway 110, Aurora, MN 55705
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals