CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mountain West Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $91
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 5.42x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mountain West Medical Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.42x the Medicare baseline. Located in 2055 North Main Street, Tooele, UT.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $77 (458%)
Insurance Median: $91 (542%)
Cash: $77 (458% of Medicare)
Ins. Median: $91 (542% 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 542% of the Medicare baseline (a markup of 442%). 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
Pehp-All Plans $13 - $54 77%
Select Health McR Adv $17 101%
Blue Cross Blue Shield $17 - $19 101%
Medicare (plans) $21 125%
Wise/Motivhealth-All Plans $49 - $209 292%
U of Ut-All Plans $49 - $209 292%
Cigna $53 - $228 315%
Dmba-All Plans $54 - $232 321%
Aetna $56 - $241 333%
Select Health-All Other Plans $56 - $241 333%
UnitedHealthcare $58 - $248 345%
Multiplan Primary Network-All Other Plans $59 - $254 351%
Humana $64 - $273 381%
Emi-All Plans $64 - $273 381%
Multiplan Complimentary Network $69 - $296 411%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2055 North Main Street, Tooele, UT 84074
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals