CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Primary Children's Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $58
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 3.45x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Primary Children's Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.45x the Medicare baseline. Located in 100 North Mario Capecchi Drive, Salt Lake City, UT.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $62 (369%)
Insurance Median: $58 (345%)
Cash: $62 (369% of Medicare)
Ins. Median: $58 (345% 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 345% of the Medicare baseline (a markup of 245%). 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
Health Plan Of Nevada $14 - $17 83%
Tricare $15 89%
Triwest $15 89%
American Health $17 - $47 101%
Healthy U $17 101%
Molina $17 - $69 101%
Selecthealth $17 - $69 101%
Southwest Behavioral Health $17 101%
UnitedHealthcare $17 - $69 101%
Donor Connect $30 - $33 179%
Aetna $58 - $70 345%
Awh Connected $58 - $70 345%
Byu Athletics $58 - $69 345%
Campbell Scientific $58 - $69 345%
Cigna $58 - $69 345%
Deseret Mutual $58 - $69 345%
Emi $58 - $69 345%
Emi Health $58 - $69 345%
First Choice $58 - $69 345%
First Choice Of The Midwest $58 - $69 345%
Franklin County $58 - $69 345%
Global Excel $58 - $69 345%
Health Utah $58 - $69 345%
Humana $58 - $69 345%
Hygeia Corporation $58 - $69 345%
Ifit $58 - $69 345%
Juniper Systems $58 - $69 345%
Lw Miller $58 - $69 345%
Managed Care Admin $58 - $69 345%
Medcare International $58 - $69 345%
Motivhealth $58 - $69 345%
Pehp $58 - $69 345%
Prodegi Corp Benefit $58 - $69 345%
Tanner Llc $58 - $69 345%
Uofu $58 - $69 345%
Utah Tech $58 - $69 345%
Wise Network $58 - $69 345%
First Health $59 - $70 351%
Blue Cross Blue Shield $60 - $71 357%
Springtide $60 - $71 357%
Utah Behavioral Health Network $67 399%
Altius Mhnet Behavioral Health $72 429%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 North Mario Capecchi Drive, Salt Lake City, UT 84113
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens