CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Community Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $49
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 2.92x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Community Memorial Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.92x the Medicare baseline. Located in W180 N8085 Town Hall Rd, Menomonee Falls, WI.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $73 (435%)
Insurance Median: $49 (292%)
Cash: $73 (435% of Medicare)
Ins. Median: $49 (292% 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 292% of the Medicare baseline (a markup of 192%). 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 - $146 101%
Allwell $17 101%
Blue Cross Blue Shield $17 - $84 101%
Care Wisconsin/Mychoice $17 101%
Centivo $17 - $69 101%
Community Care $17 101%
Health Partners $17 - $135 101%
Humana $17 101%
Icare $17 101%
Network Health Plan $17 - $20 101%
Security Health Plan $17 101%
UnitedHealthcare $17 - $69 101%
Sheboygan Employers Health Network $20 119%
Chorus Community Health Plan $24 - $89 143%
Froedtert South $24 - $87 143%
Common Ground $34 - $125 202%
Health Payment Systems $39 - $145 232%
Trilogy $39 - $144 232%
Wisconsin Physician Services $40 - $146 238%
Aspirus $45 - $166 268%
Ibsi Passport $46 - $168 274%
Americas Choice $49 - $181 292%
Federated Mutual $49 - $181 292%
Healtheos $49 - $181 292%
Multiplan/Private Healthcare Systems $49 - $181 292%
Savility $49 - $181 292%
Cigna $50 - $183 298%
First Health Network $50 - $183 298%
Healthsmart $51 - $187 304%
Physicians Plus $51 - $187 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: W180 N8085 Town Hall Rd, Menomonee Falls, WI 53051
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals