CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Childrens Hospital of Wisconsin

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $43
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 2.56x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Childrens Hospital of Wisconsin is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.56x the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $75 (446%)
Insurance Median: $43 (256%)
Cash: $75 (446% of Medicare)
Ins. Median: $43 (256% 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 256% of the Medicare baseline (a markup of 156%). 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
Chorus Community Health Plan $17 101%
My Choice Wisconsin $17 - $19 101%
UnitedHealthcare $17 - $172 101%
Managed Health Services $18 107%
Blue Cross Blue Shield $19 - $215 113%
Molina Healthcare Of Wisconsin $19 113%
Icare $21 125%
Froedtert Health $34 - $192 202%
Medical College Of Wisconsin $34 - $158 202%
Network Health Plan $34 - $161 202%
Aspirus Health Plan $36 - $170 214%
Common Ground Healthcare Cooperative $36 - $192 214%
Trilogy Health Solutions $36 - $192 214%
Wps Health Plan $36 - $204 214%
Advocate Aurora Healthcare $37 - $174 220%
Centivo $37 - $176 220%
Health Partners $37 - $199 220%
Dean Health Plan $38 - $181 226%
Employer Health Care Alliance Cooperative $38 - $178 226%
Group Health Cooperative Of Eau Claire $38 - $181 226%
Oan Llc $38 - $181 226%
Security Health Plan $40 - $188 238%
Health Payment Systems $41 - $191 244%
Praire States $41 - $192 244%
Quartz Health Insurance $41 - $192 244%
Sheboygan Employer'S Health Network $41 - $192 244%
Aetna $42 - $201 250%
Mayo Clinic Health Solutions $42 - $197 250%
Bellin Thedacare $43 - $204 256%
Cigna $43 - $204 256%
Group Health Cooperative Of South Central Wisconsin $43 - $204 256%
Prevea Health Network $43 - $204 256%
Multiplan $44 - $215 262%
Coventry Health Care $46 - $215 274%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens