CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mt Ascutney Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $271
  • Cash Discount Price: $235
  • vs. Medicare Baseline: 16.13x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mt Ascutney Hospital is $271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 16.13x the Medicare baseline. Located in 289 County Road, Windsor, VT.
Cash / Self-Pay
$235

Average discount available for prompt cash payment at this facility.

Insurance Median
$271

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: $235 (1399%)
Insurance Median: $271 (1613%)
Cash: $235 (1399% of Medicare)
Ins. Median: $271 (1613% 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 1613% of the Medicare baseline (a markup of 1513%). 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
Blue Cross Blue Shield $213 - $262 1268%
The Vermont Health Plan $213 1268%
Mvp Health Plan, Inc. $268 1595%
Cigna $273 1625%
Hphc Insurance Company, Inc. $273 1625%
Aetna $279 1661%
UnitedHealthcare $279 1661%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 289 County Road, Windsor, VT 05089
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals