CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Jfk University Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $199
Cash Discount Price: $17
vs. Medicare Baseline: 11.85x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Jfk University Medical Center is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 11.85x the Medicare baseline. Located in 65 James Street, Edison, NJ.

Cash / Self-Pay

$17

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: $17 (101%)

Insurance Median: $199 (1185%)

Cash: $17 (101% 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.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$7 - $240	42%
Horizon	$9 - $266	54%
Amerigroup	$17	101%
Blue Cross Blue Shield	$17	101%
Clover	$17 - $18	101%
Seoul Medical Group	$17	101%
Vaccn	$17	101%
Wellcare	$17	101%
United Community/Americhoice	$18	107%
UnitedHealthcare	$20 - $37	119%
Karna	$22	131%
Activecare First McO	$32 - $200	190%
Intergroup	$32 - $200	190%
Bergen Risk	$34 - $214	202%
Qualcare	$36 - $232	214%
Brighton Health Plan	$37 - $229	220%
Oxford	$37	220%
Prime Health	$37 - $229	220%
Multiplan - PHCS	$39 - $243	232%
Amerihealth	$44 - $271	262%
Cigna	$79	470%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $17.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jfk University Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.