CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Cascade Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $108
Cash Discount Price: $155
vs. Medicare Baseline: 6.43x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Cascade Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.43x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $155 (923%)

Insurance Median: $108 (643%)

Cash: $155 (923% of Medicare)

Ins. Median: $108 (643% 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 643% of the Medicare baseline (a markup of 543%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Tricare	$14	83%
Asuris Northwest Health	$16 - $175	95%
Blue Cross Blue Shield	$16 - $147	95%
Humana	$16	95%
First Choice Health Network	$17	101%
Molina Healthcare Of Washington Mcr Adv	$17	101%
Pacificsource Health Plans	$17	101%
Washington Department Of Labor And Industry	$24	143%
Medicaid / KanCare	$104	619%
Community Health Plan Of Wa Mcd Rep	$108	643%
Coordinated Care Of Wa Mcd Rep	$108	643%
Molina Healthcare Of Washington Mcd Rep	$108	643%
Aetna	$112 - $175	667%
Medicare (plans)	$112	667%
Wellcare Health Plan Inc Mcr Adv	$121	720%
Ambetter / Centene	$122	726%
Community Health Plan Of Wa	$126	750%
Cigna	$162	964%

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 $155.
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 Cascade Medical Center 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.