CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $305
  • Cash Discount Price: $525
  • vs. Medicare Baseline: 18.15x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at University Medical Center of Princeton at Plainsboro is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $525. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 18.15x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.
Cash / Self-Pay
$525

Average discount available for prompt cash payment at this facility.

Insurance Median
$305

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: $525 (3125%)
Insurance Median: $305 (1815%)
Cash: $525 (3125% of Medicare)
Ins. Median: $305 (1815% 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 1815% of the Medicare baseline (a markup of 1715%). 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
Aetna $17 - $437 101%
Blue Cross Blue Shield $17 - $395 101%
Cigna $17 - $525 101%
Medicare (plans) $17 - $18 101%
UnitedHealthcare $17 - $29 101%
Va Medical Center $17 101%
Charity Care $18 107%
Clover Health Plan $18 107%
Humana $18 107%
Medicaid / KanCare $18 - $525 107%
Tricare $20 119%
Us Family Health Plan $20 119%
Wellcare $20 119%
Elap $24 - $30 143%
Centivo $30 179%
Claim Watcher $30 179%
Horizon Nj Health $40 238%
Amerihealth $50 298%
Preferred Health Care Eliance $136 810%
Horizon Behavioral Health $197 1173%
Beacon Health Options $262 1560%
Magnacare $315 - $368 1875%
Princeton Theological Seminary $341 2030%
Coventry $368 2190%
Health Net $368 2190%
Beech Street $420 - $446 2500%
Intergrated Health Plan $420 2500%
Intergroup $420 2500%
Penn Global Medicine Embassy Only $420 2500%
Allied Trades $446 2655%
Consumer Health Network $446 2655%
Devon Health Services $446 2655%
First Managed Care Option $446 2655%
Ie Shaffer $446 2655%
Private Healthcare Systems $446 2655%
Qualcare $446 2655%
Total Care Network $446 2655%
Tri-State $446 2655%
Commercial Other $525 3125%
Compsych $525 3125%
Concern Plus $525 3125%
International Pfs $525 3125%
Life St. Francis $525 3125%
Magellan $525 3125%
Managed Health Network $525 3125%
Nj Carpenters $525 3125%
Penn Behavioral Health Corporate Services $525 3125%
Personnel Health Program $525 3125%
United Behavioral Health $525 3125%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals