CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Sanford Behavioral Health Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $102
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 6.07x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Sanford Behavioral Health Center is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.07x the Medicare baseline. Located in 120 Labree Avenue South, Thief River Falls, MN.
Cash / Self-Pay
$103

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $103 (613%)
Insurance Median: $102 (607%)
Cash: $103 (613% of Medicare)
Ins. Median: $102 (607% 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 607% of the Medicare baseline (a markup of 507%). 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
Sanford Health Plan Align $49 292%
Blue Cross Blue Shield $50 - $99 298%
Aetna $53 - $112 315%
Health Partners $53 - $104 315%
Medicare (plans) $53 315%
Ucare $53 - $113 315%
UnitedHealthcare $53 - $108 315%
Primewest $54 321%
Sanford Health Plan $69 - $81 411%
Security Health Plan $71 423%
Medica $113 - $122 673%
Cigna $116 690%
First Choice Health Network $116 690%
Healthez $116 690%
Multiplan $116 690%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 120 Labree Avenue South, Thief River Falls, MN 56701
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric