CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Monument Health Rapid City Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $86
  • Cash Discount Price: $130
  • vs. Medicare Baseline: 5.12x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Monument Health Rapid City Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.12x the Medicare baseline. Located in 353 Fairmont Blvd, Rapid City, SD.
Cash / Self-Pay
$130

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $130 (774%)
Insurance Median: $86 (512%)
Cash: $130 (774% of Medicare)
Ins. Median: $86 (512% 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 512% of the Medicare baseline (a markup of 412%). 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
Minnesota Health Care Programs 12K16 [3081295] $8 - $58 48%
Tricare $8 - $54 48%
Health Partners Sx009 [3081102] $17 - $119 101%
Medicare (plans) $17 101%
UnitedHealthcare $17 - $127 101%
Va Black Hills Health Care System 12115 [3081206] $17 101%
Coresource 38225 [3081146] $18 - $131 107%
Govt Employees Health Assn [3081090] $18 - $127 107%
Humana $18 - $173 107%
National Telephone Cooperative Assn 52103 [3081149] $18 - $127 107%
Surest [3081369] $18 - $127 107%
United Medical Resources 39026 [3081194] $18 - $127 107%
Avera Health Plans 46045 [3081018] $20 - $141 119%
Medica (Commercial) 94265 [3081118] $22 - $159 131%
Risk Admin Svs [3081167] $22 - $154 131%
Rocky Mountain Admin Llc 83028 [3081168] $22 - $154 131%
Employee Benefit Management 12X44 [3081079] $23 - $163 137%
Pacificsource Health Plans [3081333] $23 - $163 137%
Tlc Advantage Llc [3081189] $23 - $167 137%
Aetna $24 - $173 143%
Group And Pension Administrators Inc [3081098] $24 - $173 143%
Multiplan Inc 34080 [3081285] $24 - $173 143%
Sanford Health Plan 91184 [3081174] $24 - $173 143%
Allied Benefit Systems Inc [3081320] $26 - $184 155%
Cigna $26 - $184 155%
Fedmed Inc [3081283] $26 - $182 155%
Key Benefit Administrators [3081332] $26 - $184 155%
Meritain Health [3081135] $26 - $184 155%
Midlands Choice 47080 [3081136] $26 - $184 155%
Preferred One 41147 [3081160] $26 - $184 155%
Healthpartners [3081368] $27 161%
Blue Cross Blue Shield $61 363%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 353 Fairmont Blvd, Rapid City, SD 57701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals