CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Black River Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $181
  • Cash Discount Price: $177
  • vs. Medicare Baseline: 10.77x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Black River Memorial Hospital is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 10.77x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.
Cash / Self-Pay
$177

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $177 (1054%)
Insurance Median: $181 (1077%)
Cash: $177 (1054% of Medicare)
Ins. Median: $181 (1077% 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 1077% of the Medicare baseline (a markup of 977%). 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
Blue Cross Blue Shield $12 - $100 71%
Group Health Cooperative Of Eau Claire $17 - $191 101%
My Choice Wisconsin, Inc. $17 - $100 101%
Quartz Health Solutions, Inc $17 - $179 101%
UnitedHealthcare $17 - $186 101%
Humana $100 - $183 595%
Security Health Plan $100 - $184 595%
Corvel $120 714%
The Alliance $167 - $189 994%
Triology Health Solutions $177 - $187 1054%
Medica $184 1095%
Association Benefits Solution $187 1113%
Family Health Center Of Marshfield $187 1113%
First Health Group Corporation $187 1113%
Provider Network Of America $187 1113%
Cigna $191 1137%
Cofinity $191 1137%
Coventry Health Care $191 1137%
Custom Benefit Administrators $191 1137%
Healthpartners, Inc. $191 1137%
Multiplan $191 - $195 1137%
Wisconsin Physicians Service Insurance Corp $191 1137%
Chorus $193 1149%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 711 W Adams St, Black River Falls, WI 54615
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals