CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Sanford Vermillion Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $74
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 4.40x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Sanford Vermillion Medical Center is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.40x the Medicare baseline. Located in 20 South Plum Street, Vermillion, SD.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $84 (500%)
Insurance Median: $74 (440%)
Cash: $84 (500% of Medicare)
Ins. Median: $74 (440% 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 440% of the Medicare baseline (a markup of 340%). 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
Sanford Health Plan Align $31 185%
Wellmark Sd $32 190%
Ucare $34 - $92 202%
Aetna $35 - $91 208%
Health Partners $35 - $79 208%
Medicare (plans) $35 208%
Primewest $35 208%
UnitedHealthcare $35 - $88 208%
Sanford Health Plan $42 - $56 250%
Security Health Plan $58 345%
Medica $87 - $93 518%
Wellmark $90 - $91 536%
First Choice Health Network $94 560%
Healthez $94 560%
Multiplan $94 560%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20 South Plum Street, Vermillion, SD 57069
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals