CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Gifford Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $155
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 9.23x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Gifford Medical Center is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 9.23x the Medicare baseline. Located in 44 South Main Street, Randolph, VT.
Cash / Self-Pay
$97

Average discount available for prompt cash payment at this facility.

Insurance Median
$155

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: $97 (577%)
Insurance Median: $155 (923%)
Cash: $97 (577% of Medicare)
Ins. Median: $155 (923% 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 923% of the Medicare baseline (a markup of 823%). 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
UnitedHealthcare $17 - $184 101%
Blue Cross Blue Shield $83 - $165 494%
Martins Point Health Care $87 518%
Mvp Health Care Of Ny $87 - $165 518%
Cigna $155 923%
Harvard Pilgrim Health Care $155 923%
Multiplan $180 1071%
Aetna $184 1095%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 44 South Main Street, Randolph, VT 05060
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals