CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: St Mary's Healthcare

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $29
  • Cash Discount Price: $112
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at St Mary's Healthcare is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.73x the Medicare baseline. Located in 427 Guy Park Avenue, Amsterdam, NY.
Cash / Self-Pay
$112

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $112 (667%)
Insurance Median: $29 (173%)
Cash: $112 (667% of Medicare)
Ins. Median: $29 (173% 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.

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
Blue Cross Blue Shield $17 - $116 101%
Medicare (plans) $17 - $19 101%
Tricare $17 101%
Va $17 101%
Aetna $18 - $124 107%
Humana $18 107%
Medicaid / KanCare $25 - $29 149%
UnitedHealthcare $25 149%
Carelon_Commercial $80 - $83 476%
Carelon_Empire $80 - $83 476%
Emblem_Commercial $95 - $100 565%
Cdphp_Commercial $111 - $116 661%
Excellus_Commercial $118 - $123 702%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 427 Guy Park Avenue, Amsterdam, NY 12010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals