CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Dominion Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $431
  • Cash Discount Price: $916
  • vs. Medicare Baseline: 25.65x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Dominion Hospital is $431. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $916. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 25.65x the Medicare baseline. Located in 2960 Sleepy Hollow Road, Falls Church, VA.
Cash / Self-Pay
$916

Average discount available for prompt cash payment at this facility.

Insurance Median
$431

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: $916 (5452%)
Insurance Median: $431 (2565%)
Cash: $916 (5452% of Medicare)
Ins. Median: $431 (2565% 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 2565% of the Medicare baseline (a markup of 2465%). 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
Cigna $17 101%
Davita Village Health $17 101%
Devoted $17 101%
Humana $17 - $18 101%
Johns Hopkins $17 101%
United Behavioral Health $17 101%
Virginia Premier Health $17 101%
Align Senior Care $18 107%
Clear Spring Health Plan $18 107%
Pyramid Life $18 107%
Managed Health Network $19 113%
Carefirst $431 - $458 2565%
Aetna $550 3274%
Greenvbrier Sporting Club $550 3274%
Value Options $550 3274%
Virginia Health Network $651 3875%
Corvel $660 3929%
Phcs $687 4089%
4Most Health Network $825 4911%
Multiplan $825 4911%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2960 Sleepy Hollow Road, Falls Church, VA 22044
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Psychiatric