CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Medical Center Enterprise

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $22
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Medical Center Enterprise is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.31x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $84 (500%)
Insurance Median: $22 (131%)
Cash: $84 (500% of Medicare)
Ins. Median: $22 (131% 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.

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
Self Pay $3 - $529 18%
Medicaid / KanCare $7 - $12 42%
American Employee Alliance $12 - $706 71%
Bc Pml $14 83%
Node Champva $14 83%
Tricare $14 83%
UnitedHealthcare $15 - $17 89%
Blue Cross Blue Shield $16 - $17 95%
Humana $16 95%
Medicare (plans) $16 95%
Aetna $17 - $1,235 101%
Covenant Hospice $17 101%
Dayspring Hospice $17 101%
Eon Health $17 101%
Healthspring $17 101%
Node Clover Mcr Adv $17 101%
Node Devoted Health Mcr Adv $17 101%
Node Hospice Non Par $17 101%
Node Va $17 101%
Node Wellcare Mcr Adv $17 101%
Occunet $17 101%
Select Health $17 101%
Southerncare Hospice $17 101%
Veterans Eval Services $17 101%
Wiregrass Hospice $17 101%
Al Maternity Waiver Program $19 113%
Alamed $19 - $1,058 113%
Node Us Dept Of Labor $21 125%
Affordable Health $22 - $1,235 131%
Health Choice $22 - $1,235 131%
Novanet Ppo $22 - $1,235 131%
Coventry Work Comp Al $23 - $1,298 137%
Multiplan $23 - $1,394 137%
Ambetter / Centene $25 149%
Wc Dept Ind Relations $25 - $1,411 149%
Corvel $26 - $1,499 155%
Galaxy Health $28 - $1,588 167%
Cigna $30 - $154 179%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals