CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $11
  • Cash Discount Price: $148
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Montefiore Mount Vernon Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 0.65x the Medicare baseline. Located in 12 North 7Th Avenue, Mount Vernon, NY.
Cash / Self-Pay
$148

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $148 (881%)
Insurance Median: $11 (65%)
Cash: $148 (881% of Medicare)
Ins. Median: $11 (65% 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
Wellcare $7 - $9 42%
Blue Cross Blue Shield $9 - $182 54%
Centerlight $9 - $10 54%
Emblem $9 - $182 54%
Fidelis $9 - $16 54%
Healthfirst $9 - $15 54%
Medicaid / KanCare $9 54%
Point Comfort $9 54%
UnitedHealthcare $9 - $34 54%
Villagecaremax $9 54%
Vnsny Choice $9 - $10 54%
Amidacare $10 60%
Humana $10 60%
Longevity $10 60%
Vnsny Select Health $10 60%
Metroplus $12 71%
Oscar $13 77%
Mvp $19 113%
American Postal Workers $34 202%
Aetna $75 - $84 446%
Centivo $144 857%
Cigna $164 - $182 976%
Elderplan $182 1083%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals