CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $94
Cash Discount Price: $404
vs. Medicare Baseline: 5.60x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Memorial Hospital for Cancer and Allied Diseases is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $404. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.60x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$404

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $404 (2405%)

Insurance Median: $94 (560%)

Cash: $404 (2405% of Medicare)

Ins. Median: $94 (560% 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 560% of the Medicare baseline (a markup of 460%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Emblem	$34 - $228	202%
Cigna	$59	351%
Oxford	$67	399%
UnitedHealthcare	$67	399%
Healthfirst	$68 - $242	405%
Fidelis	$77 - $92	458%
Aetna	$86 - $150	512%
Empire	$116 - $145	690%
Magnacare	$259 - $323	1542%
Metroplus	$263	1565%
Urn	$287	1708%
6 Degrees Health	$315	1875%
Multiplan	$364	2167%

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 $404.
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 Memorial Hospital for Cancer and Allied Diseases 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.