CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Astria Toppenish Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $20
Cash Discount Price: $47
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Astria Toppenish Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.19x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $47 (280%)

Insurance Median: $20 (119%)

Cash: $47 (280% of Medicare)

Ins. Median: $20 (119% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$3 - $29	18%
Regence	$7 - $57	42%
Premera	$8 - $64	48%
Premera_Affordable_Care	$8 - $64	48%
Ambetter / Centene	$11	65%
UnitedHealthcare	$11 - $140	65%
Va	$11	65%
Medicare (plans)	$12 - $140	71%
Molina	$12	71%
Chpw_Cascade_Care	$13 - $106	77%
First_Choice	$14 - $117	83%
Molina_Exchange	$15	89%
Tpsc	$16 - $132	95%
Aetna	$17 - $149	101%
Cigna	$17	101%
Humana	$17 - $169	101%
Li	$17	101%
Tricare	$17	101%
Zenith	$17	101%
Bcchp	$20 - $169	119%
Great_Rivers	$20 - $169	119%
Healthcomp	$20 - $169	119%
Washington_State_Hca	$20 - $169	119%
Kaiser	$64	381%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $47.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Astria Toppenish Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.