CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Elizabethtown Community Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $169
  • Cash Discount Price: $292
  • vs. Medicare Baseline: 10.06x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Elizabethtown Community Hospital is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 10.06x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.
Cash / Self-Pay
$292

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

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: $292 (1738%)
Insurance Median: $169 (1006%)
Cash: $292 (1738% of Medicare)
Ins. Median: $169 (1006% 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 1006% of the Medicare baseline (a markup of 906%). 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
Capital District Physicians' Health Plan $12 - $240 71%
Humana $16 95%
Aetna $111 - $190 661%
Blue Cross Blue Shield $111 - $219 661%
Fidelis Care $111 661%
Martins Point $111 661%
Mvp $111 - $228 661%
UnitedHealthcare $111 - $269 661%
Veterans Affairs Community Care Network $111 661%
Choicecare $112 - $234 667%
Wellpath $166 988%
Emblem Health $234 1393%
Harvard Pilgrim $234 1393%
Magnacare $234 1393%
Highmark Blueshield $238 1417%
Coventry $248 1476%
Multiplan $263 1565%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 75 Park Street, Elizabethtown, NY 12932
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals