CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: PAM Rehabilitation Hospital of Fargo

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $199
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 11.85x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at PAM Rehabilitation Hospital of Fargo is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 11.85x the Medicare baseline. Located in 4671 38Th St S, Fargo, ND.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$199

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: $274 (1631%)
Insurance Median: $199 (1185%)
Cash: $274 (1631% of Medicare)
Ins. Median: $199 (1185% 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 1185% of the Medicare baseline (a markup of 1085%). 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 $17 101%
Primewest Minnesota $17 101%
Ucare Of Minnesota $17 101%
Medica $58 - $116 345%
Sanford Health Plan $127 756%
Cigna $164 - $192 976%
Ilumed Aco Reach $178 1060%
Americas Choice Provider Network $192 1143%
Provider Network Of America $206 1226%
Quik Trip $206 1226%
Usa Managed Care Organization $206 1226%
Velocity Provider Ppo Network $206 1226%
Multiplan/Phcs $219 1304%
Prime Health Services $233 1387%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4671 38Th St S, Fargo, ND 58104
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL