CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Arbor Health Morton Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $88
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 5.24x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Arbor Health Morton Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.24x the Medicare baseline. Located in 521 Adams Street, Morton, WA.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

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: $114 (679%)
Insurance Median: $88 (524%)
Cash: $114 (679% of Medicare)
Ins. Median: $88 (524% 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 524% of the Medicare baseline (a markup of 424%). 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
Comm Health Healthy Options $77 - $82 458%
Kaiser Mcaid $77 - $82 458%
UnitedHealthcare $77 - $153 458%
Aetna $82 - $168 488%
Amerigroup Mcr Adv $82 - $88 488%
Amerigroup-All Other Plans $82 - $87 488%
Comm Health Mcr Adv $82 - $88 488%
Healthnet Mcr Adv - All Plans $82 - $88 488%
Humana $82 - $88 488%
Mcr Railroad Mcr Adv - All Plans $82 - $88 488%
Medicare (plans) $82 - $88 488%
Premera Hmo Mcr Adv $82 - $88 488%
Rural Health Mcare - All Plans $82 - $88 488%
Regence Blue Shield Mcr Adv $83 - $89 494%
Molina Mcr Adv $86 - $92 512%
Wellcare Mcr Adv - All Plans $86 - $92 512%
Molina Marketplace-All Other Plans $105 - $112 625%
Regence Blue Shield Ump-All Other Plans $125 - $134 744%
Kaiser Comm-All Other Plans $140 - $150 833%
Molina Mcaid $149 - $159 887%
Comm Health Basic Sub - All Other Plans $152 - $162 905%
Comm Health Pebb $152 - $162 905%
Premera First-All Other Plans $161 - $172 958%
Cigna $166 - $178 988%
First Choice-All Plans $166 - $178 988%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 521 Adams Street, Morton, WA 98356
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals