CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $125
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 7.44x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at University of Wi Hospitals & Clinics Authority is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 7.44x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $128 (762%)
Insurance Median: $125 (744%)
Cash: $128 (762% of Medicare)
Ins. Median: $125 (744% 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 744% of the Medicare baseline (a markup of 644%). 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
Aetna $17 - $172 101%
Blue Cross Blue Shield $17 - $203 101%
Humana $17 101%
Medicare (plans) $17 101%
UnitedHealthcare $17 - $134 101%
Alliance_Premier_Network $102 607%
Mercycare $106 631%
Triology $109 - $131 649%
Security_Health_Plan $116 - $136 690%
Employer'S_Coalition_On_Health $118 - $165 702%
Alliance $120 714%
Hfn $122 - $165 726%
United_Healthcare $123 - $182 732%
Beloit_Health_System $124 738%
Aspirus_Health_Plan $125 744%
Cigna $128 762%
Health_Partners_Insurance $131 780%
Health_Payment_Systems $131 780%
Dean_Health_Plan $137 815%
Medical_Associates $141 839%
Wps $148 - $163 881%
Employers_Healthcare_Coalition_Of_Wi $150 893%
Aspirus_Network_Inc $165 982%
Chorus_Community $171 1018%
Ghc_Eau_Claire_Health_Plan $171 1018%
Multiplan $171 - $197 1018%
Sheybogan_Employers_Health_Network $171 1018%
Coventry $182 1083%
Dean_Care $182 1083%
Healthsmart $188 1119%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals