CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Southern Coos Hospital & Health Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $111
Cash Discount Price: $132
vs. Medicare Baseline: 6.61x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Southern Coos Hospital & Health Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.61x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$132

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $132 (786%)

Insurance Median: $111 (661%)

Cash: $132 (786% of Medicare)

Ins. Median: $111 (661% 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 661% of the Medicare baseline (a markup of 561%). 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
Healthnet - All Plans	$21 - $25	125%
Tricare	$71 - $86	423%
Advanced Health - All Plans	$77 - $93	458%
Aetna	$81 - $133	482%
Atrio Mcr Adv - Allplans	$81 - $98	482%
Confederated Tribes - All Plans	$81 - $98	482%
Moda Mcr Adv	$81 - $98	482%
Pacific Source Mcr Adv	$81 - $98	482%
Cigna	$97 - $117	577%
Moda Health Plan - All Other Plans	$109 - $132	649%
Prov Netwrk Of America - All Plans	$111 - $133	661%
Three Rivers - All Plans	$111 - $133	661%
UnitedHealthcare	$111 - $133	661%
First Choice - All Plans	$113 - $136	673%
Blue Cross Blue Shield	$114 - $138	679%
Multiplan - All Plans	$114 - $138	679%
First Health - All Plans	$117 - $141	696%
Pacific Source - All Other Plans	$117 - $141	696%
Providence Preferred - All Plans	$117 - $141	696%

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 $132.
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 Southern Coos Hospital & Health Center 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.