CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Elmhurst Hospital Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $51
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.04x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Elmhurst Hospital Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.04x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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%)
Insurance Median: $51 (304%)
Ins. Median: $51 (304% 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 304% of the Medicare baseline (a markup of 204%). 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
Healthfirst $9 - $112 54%
Aetna $12 - $49 71%
Elderplan $17 101%
Fidelis $17 - $112 101%
Magnacare $20 119%
Oscar $25 149%
Oxford $25 149%
United $25 - $62 149%
Centerlight $35 208%
Cigna $41 244%
Wellcare $42 250%
Carelon $46 - $50 274%
Metroplus $47 - $112 280%
Emblem $49 - $67 292%
Amidacare $50 298%
Blue Cross Blue Shield $50 - $112 298%
Senior Whole Health $50 298%
United Behavioral Health $50 - $55 298%
Affinity $51 - $112 304%
Carelon (Amida Care) $51 304%
Vnsny $51 - $60 304%
Multiplan $56 333%
Local 1199 $60 357%
Villagecare Max $60 357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals