CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Childrens Hospital of Wisconsin Fox Valley

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $153
  • Cash Discount Price: $105
  • vs. Medicare Baseline: 9.11x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Childrens Hospital of Wisconsin Fox Valley is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 9.11x the Medicare baseline. Located in 130 Second St, Neenah, WI.
Cash / Self-Pay
$105

Average discount available for prompt cash payment at this facility.

Insurance Median
$153

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: $105 (625%)
Insurance Median: $153 (911%)
Cash: $105 (625% of Medicare)
Ins. Median: $153 (911% 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 911% of the Medicare baseline (a markup of 811%). 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 - $145 101%
Managed Health Services $18 107%
Molina Healthcare Of Wisconsin $18 107%
Blue Cross Blue Shield $19 - $181 113%
Icare $21 125%
Froedtert Health $134 - $162 798%
Medical College Of Wisconsin $134 798%
Network Health Plan $136 810%
Aspirus Health Plan $143 851%
Common Ground Healthcare Cooperative $143 - $162 851%
Trilogy Health Solutions $143 - $162 851%
Wps Health Plan $145 - $172 863%
Advocate Aurora Healthcare $147 875%
Centivo $149 887%
Health Partners $149 - $168 887%
Employer Health Care Alliance Cooperative $150 893%
Dean Health Plan $153 911%
Group Health Cooperative Of Eau Claire $153 911%
Oan Llc $153 911%
Security Health Plan $158 940%
Health Payment Systems $161 958%
Praire States $162 964%
Quartz Health Insurance $162 964%
Sheboygan Employer'S Health Network $162 964%
America'S Ppo $166 988%
Aetna $168 - $170 1000%
Bellin Thedacare $172 1024%
Cigna $172 1024%
Group Health Cooperative Of South Central Wisconsin $172 1024%
Healthsmart $172 1024%
Prevea Health Network $172 1024%
Multiplan $174 - $181 1036%
Coventry Health Care $181 1077%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Second St, Neenah, WI 54956
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens