CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Forks Community Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $101
  • Cash Discount Price: $154
  • vs. Medicare Baseline: 6.01x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Forks Community Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.01x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.
Cash / Self-Pay
$154

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $154 (917%)
Insurance Median: $101 (601%)
Cash: $154 (917% of Medicare)
Ins. Median: $101 (601% 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 601% of the Medicare baseline (a markup of 501%). 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 $32 - $164 190%
Medicaid / KanCare $67 - $71 399%
Coordinated Care (Mco) Mcd-All Plans $72 429%
Community Health Network Mcr-All Other Plans $87 518%
Humana $87 518%
Tricare $87 518%
Triwest-All Plans $87 518%
Ambetter / Centene $101 601%
Wellcare Med Adv - All Plans $101 601%
Regence-All Other Plans $111 661%
Community Health Exchange $125 744%
Molina Commercial-All Other Plans $178 1060%
Aetna $183 1089%
Blue Cross Blue Shield $183 1089%
Cigna $193 1149%
First Choice-All Plans $193 1149%
Medicare (plans) $318 1893%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 530 Bogachiel Way, Forks, WA 98331
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals