CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Capital Health Regional Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $62
  • Cash Discount Price: $252
  • vs. Medicare Baseline: 3.69x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Capital Health Regional Medical Center is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.69x the Medicare baseline. Located in 750 Brunswick Ave, Trenton, NJ.
Cash / Self-Pay
$252

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $252 (1500%)
Insurance Median: $62 (369%)
Cash: $252 (1500% of Medicare)
Ins. Median: $62 (369% 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 369% of the Medicare baseline (a markup of 269%). 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
Medicaid / KanCare $9 - $132 54%
Wellpoint $9 - $133 54%
Aetna $11 - $1,094 65%
Clover $17 101%
Fidelis $17 101%
Humana $17 101%
Medicare (plans) $17 101%
Oxford Benefit Plan $17 101%
UnitedHealthcare $17 - $23 101%
Blue Cross Blue Shield $21 - $369 125%
Horizon Nj Health $25 149%
Cigna $62 - $2,312 369%
Multiplan $177 - $2,621 1054%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 750 Brunswick Ave, Trenton, NJ 08638
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals