CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Othello Community Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $174
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 10.36x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Othello Community Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 10.36x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$163

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

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: $163 (970%)
Insurance Median: $174 (1036%)
Cash: $163 (970% of Medicare)
Ins. Median: $174 (1036% 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 1036% of the Medicare baseline (a markup of 936%). 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
Ambetter / Centene $92 - $93 548%
Amerigroup Mcaid $92 548%
Chp Mcaid $92 548%
Cocare - All Plans $92 548%
Gau - All Plans $92 548%
Kaiser - All Plans $92 548%
Molina Mcaid $92 548%
UnitedHealthcare $92 - $217 548%
Chp - All Other Plans $93 554%
Molina - All Other Plans $93 554%
Medicare (plans) $109 649%
Tricare $141 839%
Triwest - All Plans $141 839%
Asuris - All Plans $174 1036%
Commercial Other - All Plans $174 1036%
Hma - All Plans $174 1036%
Hmso - All Plans $174 1036%
Tpsc - All Plans $174 1036%
Travelers - All Plans $174 1036%
Veterans Admin - All Plans $174 1036%
Blue Cross Blue Shield $182 1083%
Cigna $193 1149%
First Choice - All Plans $196 1167%
Aetna $204 1214%
Chp Mcr Adv $217 1292%
Health Alliance Mcr Adv - All Plans $217 1292%
Humana $217 1292%
Molina Mcare $217 1292%
Wellcare Mcr Adv - All Plans $217 1292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals