CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: St Peter's Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $77
  • Cash Discount Price: $195
  • vs. Medicare Baseline: 4.58x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at St Peter's Hospital is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $195. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.58x the Medicare baseline. Located in 315 South Manning Boulevard, Albany, NY.
Cash / Self-Pay
$195

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $195 (1161%)
Insurance Median: $77 (458%)
Cash: $195 (1161% of Medicare)
Ins. Median: $77 (458% 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 458% of the Medicare baseline (a markup of 358%). 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
Albany County Correctional Facility $9 54%
Medicaid / KanCare $9 - $341 54%
Nascentia Health Options $9 54%
Blue Cross Blue Shield $10 - $77 60%
UnitedHealthcare $12 - $341 71%
Eddy Seniorcare Pace $17 101%
Medicare (plans) $17 - $341 101%
Secure Horizons Ma Pffs $17 101%
Aetna $18 - $55 107%
Hudson Headwaters Pace $18 107%
Mvp $18 107%
Nascentia Health Plus $19 113%
Fidelis Care $30 179%
Wellpath $38 226%
Harvard Pilgrim Healthcare $42 250%
Bcn Domestic $44 262%
Blue Care Network $44 262%
Unicare $44 262%
1199 National Benefit Fund $55 327%
Allied Benefit Systems $55 327%
Asr Health Benefits $55 327%
Christian Brother Services $55 327%
Geha $55 327%
Lucent Health $55 327%
Luminare Health $55 327%
Medical Mutual $55 327%
Meritain $55 327%
Trustmark Small Business Benefits $55 327%
Blue Shield - Ny Highmark Northeastern $62 - $77 369%
Allegiance $74 - $153 440%
American Postal Workers Secondary $74 - $153 440%
Cigna $74 - $153 440%
Diversified Administrators $74 - $153 440%
Health Partners $74 - $153 440%
Priority Health $74 - $153 440%
Tufts Health Plan $74 - $153 440%
Webtpa $74 - $153 440%
Blue Shield - Ca $77 458%
Blue Shield - Id (Regence) $77 458%
Blue Shield - Ny Highmark Western $77 458%
Blue Shield - Pa (Highmark) $77 458%
Blue Shield - Wa (Regence) $77 458%
Emblem Health $82 - $170 488%
Nova $82 - $170 488%
Carelon Behavioral Health $124 - $256 738%
Galaxy Health Network $132 - $273 786%
Health Republic $140 - $290 833%
Independent Health $140 - $290 833%
Magnacare $140 - $290 833%
Health New England $148 - $307 881%
Multiplan $148 - $307 881%
Phcs $148 - $307 881%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 South Manning Boulevard, Albany, NY 12208
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals