CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Englewood Hospital and Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $52
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 3.10x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Englewood Hospital and Medical Center is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.10x the Medicare baseline. Located in 350 Engle St, Englewood, NJ.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $57 (339%)
Insurance Median: $52 (310%)
Cash: $57 (339% of Medicare)
Ins. Median: $52 (310% 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 310% of the Medicare baseline (a markup of 210%). 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
Oxford_741 $6 36%
UnitedHealthcare $6 - $17 36%
Heathnet Federal Services $15 89%
Hip Health Plan $15 - $16 89%
Aetna $17 - $279 101%
Americhoice_732 $17 101%
Amerigroup_758 $17 101%
Amerihealth_766 $17 101%
Blue Cross Blue Shield $17 - $329 101%
Clover_733 $17 101%
Horizon New Jersey Health - Dsnp $17 - $18 101%
Humana $17 101%
Americhoice_756 $18 107%
Emblem_734 $18 107%
Wellcare_765 $18 107%
Emblem_762 $20 119%
Health Care Support_787 $29 173%
Amerihealth_760 $30 179%
Wellcare_755 $44 262%
Amerigroup_754 $56 333%
Magnacare_768 $63 375%
Magnacare_770 $63 375%
Amerihealth_757 $261 1554%
Multiplan $273 - $278 1625%
Cigna $306 1821%
Horizon $332 - $354 1976%
Magnacare_763 $341 2030%
Magnacare_769 $341 2030%
Qualcare_752 $375 2232%
Qualcare $381 2268%
Bergen $426 2536%
Coventry $426 2536%
Magnacare $454 2702%
Qualcare_783 $7,783 46327%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Engle St, Englewood, NJ 07631
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals