RxDoctor Payments Data

CPT 84443

Blood test, thyroid stimulating hormone (tsh)

$16.44Medicare-allowed amount per service, averaged across 13,847,047 services
Providers submitted
$96.01

Asking price, not received

Medicare allowed
$16.44

The fee schedule figure

Medicare paid
$16.44

Balance is patient coinsurance

Providers submitted an average of $96.01 for this code and Medicare allowed $16.445.8× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $16.44 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$16.44
Hospital / facility
$16.43

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 13,844,477 services were billed in an office setting and 2,570 in a facility.

Services
13,847,047

Medicare Part B, 2024

Beneficiaries
9,886,074
Providers billing it
19,436
Total allowed
$227,645,453

Services × allowed amount

What Medicare pays for CPT 84443

Across 13,847,047 services billed by 19,436 providers to 9,886,074 beneficiaries, Medicare allowed an average of $16.44 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 84443

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory10,977,7357,813,217$16.451,031
Internal Medicine913,619669,349$16.434,288
Family Practice865,364650,393$16.425,748
Pathology252,582178,037$16.4386
Nurse Practitioner230,446179,470$16.413,650
Endocrinology219,136135,598$16.39608
Hematology-Oncology106,72450,776$16.43787
Physician Assistant90,50872,076$16.421,558
Cardiology44,98233,135$16.44310
Medical Oncology24,90211,095$16.44246
General Practice18,68213,846$16.4392
Rheumatology18,52314,774$16.41263
Gastroenterology11,5948,977$16.3849
Interventional Cardiology8,3317,169$16.4284
Urology8,2264,957$16.4126

84443 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
New Jersey1,645,017$16.45$16.46383
Florida1,536,177$16.45$16.461,166
California1,475,820$16.45$16.46564
Texas1,323,875$16.44$16.461,811
North Carolina1,076,620$16.45$16.461,102
New York661,326$16.45$16.461,441
Arizona523,120$16.45$16.46431
Ohio506,882$16.44$16.46426
Tennessee447,383$16.43$16.461,462
Alabama410,104$16.43$16.46578
Georgia383,953$16.44$16.46589
Kansas363,199$16.46$16.46255
Illinois362,656$16.45$16.46557
Massachusetts318,230$16.45$16.46629
Virginia274,503$16.34$16.46607
Maryland230,771$16.44$16.46320
Pennsylvania223,817$16.45$16.46172
Washington219,201$16.43$16.46458
Oklahoma150,470$16.44$16.46163
Wisconsin125,519$16.37$16.46265
South Carolina125,221$16.42$16.46347
Colorado116,430$16.43$16.46182
Nevada112,025$16.45$16.4676
Michigan109,299$16.44$16.46260
Oregon101,284$16.42$16.46345
Louisiana95,001$16.44$16.46304
Indiana90,835$16.44$16.46143
Kentucky85,246$16.43$16.46187
Minnesota78,024$16.41$16.46937
Arkansas74,304$16.41$16.46391
Mississippi73,764$16.38$16.46265
Missouri72,494$16.43$16.46370
Iowa62,416$16.43$16.46344
Hawaii57,289$16.43$16.467
Utah45,886$16.43$16.46304
New Mexico44,964$16.42$16.4655
Nebraska44,957$16.44$16.46197
Puerto Rico30,680$16.35$16.46297
South Dakota21,808$16.43$16.46123
North Dakota21,777$16.44$16.4652
Connecticut20,646$16.43$16.46198
Rhode Island20,363$16.45$16.4612
Maine15,399$16.42$16.46163
Idaho12,671$16.41$16.4658
West Virginia11,985$16.40$16.4669
Montana11,506$16.44$16.4641
Wyoming8,569$16.41$16.4672
New Hampshire7,656$16.44$16.4695
Alaska6,479$16.40$16.4689
U.S. Virgin Islands3,634$16.42$16.456
Delaware2,892$16.46$16.466
District of Columbia1,463$16.45$16.4612
Vermont1,112$16.45$16.4643
Guam215$16.31$16.464
XX51$16.46$16.461
AE47$16.19$16.461

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.