CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Richland Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $94
Cash Discount Price: $143
vs. Medicare Baseline: 5.60x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Richland Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.60x the Medicare baseline. Located in 333 E Second St, Richland Center, WI.

Cash / Self-Pay

$143

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $143 (851%)

Insurance Median: $94 (560%)

Cash: $143 (851% of Medicare)

Ins. Median: $94 (560% 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 560% of the Medicare baseline (a markup of 460%). 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
Blue Cross Blue Shield	$17 - $230	101%
Care Wisconsin	$17 - $3,902	101%
Dean Health Plan	$17 - $3,902	101%
Health Tradition	$17 - $3,902	101%
Quartz	$17 - $3,902	101%
UnitedHealthcare	$17 - $3,902	101%
Security Health	$36 - $90	214%
Group Health Coop Of Eau Claire	$39 - $3,902	232%
Humana	$43 - $3,902	256%
Cigna	$67 - $169	399%
Employer Health Care Alliance	$67 - $179	399%
Aetna	$92 - $230	548%

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 $143.
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 Richland 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.