CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Columbia Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $29
Cash Discount Price: $59
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Columbia Memorial Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.73x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$59

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: $59 (351%)

Insurance Median: $29 (173%)

Cash: $59 (351% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $36	101%
Blue Cross Blue Shield	$17 - $83	101%
Cdphp	$17 - $101	101%
Fidelis	$17 - $101	101%
Mvp	$17 - $94	101%
Emblem	$19 - $30	113%
UnitedHealthcare	$20	119%
Empire Plan Nyship	$23	137%
Magnacare	$25	149%
Blue Shield	$29 - $58	173%
Mvp Commercial	$38 - $137	226%
Medicaid / KanCare	$45	268%
Multiplan	$46 - $165	274%
Hamaspik	$61	363%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $59.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Columbia Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.