CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Portsmouth Regional Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $199
  • Cash Discount Price: $565
  • vs. Medicare Baseline: 11.85x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Portsmouth Regional Hospital is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $565. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 11.85x the Medicare baseline. Located in 333 Borthwick Ave, Portsmouth, NH.
Cash / Self-Pay
$565

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: $565 (3363%)
Insurance Median: $199 (1185%)
Cash: $565 (3363% 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
Amerihealth Caritas $15 89%
Well Sense Health Plan $15 89%
Aetna $17 - $501 101%
Blue Cross Blue Shield $17 - $350 101%
Cigna $17 - $88 101%
Evernorth Behavioral Health $17 101%
Humana $17 101%
Martin'S Point Health $17 101%
Sierra Military Health $17 101%
United $17 - $522 101%
United Behavioral Health $17 101%
United Va Ccn $17 101%
Ambetter / Centene $30 179%
Harvard Pilgrim $71 - $340 423%
Maine Community Health $106 - $419 631%
Tufts Health Plan $127 - $452 756%
Mvp Health Plan $237 - $554 1411%
Corvel $244 - $570 1452%
Evernorth $271 - $633 1613%
Mutual Of Omaha $271 - $633 1613%
Multiplan $275 - $641 1637%
First Health $308 - $720 1833%
Healthcare Value Mgmt $308 - $720 1833%
Oxford Health Plans $322 - $751 1917%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 333 Borthwick Ave, Portsmouth, NH 03801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals