CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Perham Health

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $42
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 2.50x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Perham Health is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.50x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $75 (446%)
Insurance Median: $42 (250%)
Cash: $75 (446% of Medicare)
Ins. Median: $42 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Blue Cross Blue Shield $39 - $99 232%
Health Partners Mcr Adv $39 232%
Humana $39 232%
Medica Mcr Adv $39 232%
Medicare (plans) $39 - $44 232%
Ucare Mn Senior Health Options $39 232%
Ucare Mn Special Needs Basic Care Dual $41 244%
UnitedHealthcare $41 - $90 244%
Medica Mcaid Mn Care $42 250%
Medicaid / KanCare $42 250%
Ucare Mn Medical Assistance $42 250%
Ucare Mn Minnesota Care $42 250%
Ucare Mn Senior Care Plus $42 250%
Ucare Mn Special Needs Basic Care $42 250%
Medica Mn (Msho) $48 286%
Ucare Individual And Family Plan-All Other Plans $48 286%
Medica Mn Senior Hp/Outside Mn $53 315%
Health Partners Minnesota Care $58 345%
Medica Commercial-All Other Plans $85 506%
Preferred One (Pchp, Pic, Pas)-All Other Plans $87 518%
Health Partners-All Plans $95 565%
Preferred One (Ppo) $99 589%
Sanford Health Plan-All Plans $99 589%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Coney Street West, Perham, MN 56573
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals