CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Baldwin Health

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $24
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Baldwin Health is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.43x the Medicare baseline. Located in 1613 North McKenzie Street, Foley, AL.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $38 (226%)
Insurance Median: $24 (143%)
Cash: $38 (226% of Medicare)
Ins. Median: $24 (143% 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
First Choice $9 54%
Medicaid / KanCare $12 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%
Triwest $16 95%
Windsor Health Plan $16 95%
Aetna $17 - $143 101%
Cigna $17 - $70 101%
Community Hospice $17 101%
Hospice $17 101%
Mercy Medical Hospice $17 101%
Node Clover Health Mcr Adv $17 101%
Node Devoted Health Mcr Adv $17 101%
Node Va $17 101%
Node Wellcare Mcr Adv $17 101%
Select Health $17 101%
Veterans Eval Services $17 101%
Us Dol $21 125%
Ambetter / Centene $25 149%
Self Pay $29 - $48 173%
American Employee Alliance $64 381%
Multiplan $91 - $130 542%
First Health $119 - $128 708%
Alamed $122 726%
Multiplan Inc $122 726%
Coventry Work Comp Al $124 738%
One Health $127 756%
Pro America $127 756%
Novanet $128 762%
Alabama Wc $135 804%
Gulf Health $135 804%
Principal Ppo $135 804%
Viva Health $135 804%
National Health $143 851%
Galaxy $145 863%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals