CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Prosser Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $118
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 7.02x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Prosser Memorial Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 7.02x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $84 (500%)
Insurance Median: $118 (702%)
Cash: $84 (500% of Medicare)
Ins. Median: $118 (702% 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 702% of the Medicare baseline (a markup of 602%). 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 $28 - $63 167%
Kaiser Permanente $30 - $142 179%
Community Health Plan Of Washington $32 - $63 190%
Coordinated Care $32 - $63 190%
Amerigroup $33 - $67 196%
Molina $33 - $63 196%
Health Alliance Northwest $37 - $39 220%
Humana $37 - $133 220%
Wellcare $37 - $39 220%
Aetna $44 - $133 262%
Ambetter / Centene $104 - $120 619%
Asuris $118 - $140 702%
Health Management Adminstrators $118 - $140 702%
Premera $118 - $125 702%
Regence $118 - $140 702%
Cigna $121 - $128 720%
First Choice $126 - $133 750%
Multiplan $126 - $140 750%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 723 Memorial Street, Prosser, WA 99350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals