CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Wheatland Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $93
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 5.54x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Wheatland Memorial Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.54x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $122 (726%)
Insurance Median: $93 (554%)
Cash: $122 (726% of Medicare)
Ins. Median: $93 (554% 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 554% of the Medicare baseline (a markup of 454%). 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
Healthnet Federal-All Plans $56 - $93 333%
Humana $56 - $93 333%
Medica Prime Solutions-All Plans $56 - $93 333%
Pacific Source Mcr Adv $56 - $93 333%
Triwest-All Plans $56 - $93 333%
Amish Old Orders-All Plans $68 - $114 405%
Allegiance Provider-All Plans $77 - $129 458%
6 Degrees Health-All Plans $86 - $144 512%
Americas Choice-All Plans $86 - $144 512%
Community Health Ntwk-All Plans $86 - $144 512%
Fedmed Network-All Plans $86 - $144 512%
First Choice Big Sky-All Plans $86 - $144 512%
Interwest Ppo-All Plans $86 - $144 512%
Mountain Health Co-Op-All Plans $86 - $144 512%
Pacific Source-All Other Plans $86 - $144 512%
Pacific Steel & Recycling-All Plans $86 - $144 512%
Rocky Mountain Health Network-All Plans $86 - $144 512%
Three Rivers-All Plans $86 - $144 512%
First Health-All Plans $87 - $146 518%
Ccn-All Plans $88 - $148 524%
UnitedHealthcare $89 - $149 530%
City Of Billings-All Plans $136 - $228 810%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 530 3Rd St Nw, Harlowton, MT 59036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals