CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Astria Sunnyside Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $41
Cash Discount Price: $42
vs. Medicare Baseline: 2.44x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Astria Sunnyside Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.44x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $42 (250%)

Insurance Median: $41 (244%)

Cash: $42 (250% of Medicare)

Ins. Median: $41 (244% 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 244% of the Medicare baseline (a markup of 144%). 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
Medicaid / KanCare	$5 - $90	30%
Molina	$5 - $72	30%
Regence	$10 - $151	60%
Cigna	$11 - $176	65%
Li	$12 - $180	71%
First_Choice	$14 - $220	83%
Kaiser	$15 - $230	89%
Medicare (plans)	$15 - $17	89%
Premera	$15 - $238	89%
Tpsc	$15 - $229	89%
UnitedHealthcare	$16 - $249	95%
Aetna	$17 - $258	101%
Fhpw	$17 - $258	101%
Healthcomp	$17 - $264	101%
Healthcomp_Ihs	$17	101%
Humana	$17 - $264	101%
Tricare	$17	101%
Va	$17	101%
Bcchp	$19 - $293	113%
Great_Rivers	$19 - $293	113%
Zenith	$19 - $293	113%

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 $42.
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 Astria Sunnyside Hospital 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.