CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Bayshore Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $61
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 3.63x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Bayshore Medical Center is $61. 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 3.63x the Medicare baseline. Located in 727 N Beers St, Holmdel, NJ.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $61 (363%)
Cash: $17 (101% of Medicare)
Ins. Median: $61 (363% 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 363% of the Medicare baseline (a markup of 263%). 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 - $224 101%
Amerigroup $17 101%
Clover $17 101%
Seoul Medical Group $17 101%
Vaccn $17 101%
Wellcare $17 101%
United Community/Americhoice $18 107%
UnitedHealthcare $20 - $37 119%
Qualcare $23 - $252 137%
Horizon $28 - $247 167%
Bergen Risk $34 - $214 202%
Oxford $34 202%
Brighton Health Plan $37 - $229 220%
Cigna $37 - $229 220%
Multiplan - PHCS $39 - $243 232%
Amerihealth $40 - $278 238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 727 N Beers St, Holmdel, NJ 07733
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals