CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Children's Specialized Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $140
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 8.33x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Children's Specialized Hospital is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 8.33x the Medicare baseline. Located in 200 Somerset St, New Brunswick, NJ.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$140

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: $93 (554%)
Insurance Median: $140 (833%)
Cash: $93 (554% of Medicare)
Ins. Median: $140 (833% 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 833% of the Medicare baseline (a markup of 733%). 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
Fidelis Care $13 77%
UnitedHealthcare $14 83%
Blue Cross Blue Shield $18 - $181 107%
Cigna $111 661%
First Health $111 661%
Emblem Health $126 750%
Amerihealth $140 833%
Aetna $141 - $142 839%
Wellpoint $141 839%
Qualcare Inc $144 857%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Somerset St, New Brunswick, NJ 08901
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens