CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $45
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 2.68x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Froedtert Memorial Lutheran Hospital is $45. 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 2.68x the Medicare baseline. Located in 9200 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $45 (268%)
Cash: $73 (435% of Medicare)
Ins. Median: $45 (268% 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 268% of the Medicare baseline (a markup of 168%). 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
Network Health Plan $16 - $18 95%
Aetna $17 - $135 101%
Blue Cross Blue Shield $17 - $84 101%
Care Wisconsin/Mychoice $17 101%
Centivo $17 - $69 101%
Community Care $17 101%
Health Partners $17 - $129 101%
Humana $17 101%
Icare $17 101%
Molina $17 101%
Priority Health $17 101%
Quartz $17 101%
Security Health Plan $17 - $164 101%
UnitedHealthcare $17 - $20 101%
Upper Peninsula Health Plan $17 101%
Wellcare $17 101%
Medical College Of Wisconsin $19 - $69 113%
Sheboygan Employers Health Network $20 119%
Chorus Community Health Plan $22 - $81 131%
Froedtert South $23 - $83 137%
Wisconsin Physician Services Statewide Alliance $36 - $131 214%
Health Payment Systems $37 - $137 220%
Trilogy $37 - $135 220%
Cigna $44 - $162 262%
Dean Health Plan $45 - $166 268%
Group Health Cooperative $45 - $166 268%
Healtheos $45 - $166 268%
Multiplan/Private Healthcare Systems $45 - $166 268%
Healthsmart $47 - $173 280%
Wisconsin Physician Services $48 - $177 286%
First Health Network $49 - $180 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals