CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Grandview Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $97
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 5.77x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Grandview Medical Center is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.77x the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $42 (250%)
Insurance Median: $97 (577%)
Cash: $42 (250% of Medicare)
Ins. Median: $97 (577% 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 577% of the Medicare baseline (a markup of 477%). 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
Medicaid / KanCare $12 71%
Bc Pml $14 83%
Node Champva $14 83%
Tricare $14 83%
UnitedHealthcare $15 - $111 89%
Blue Advantage $16 95%
Humana $16 95%
Medicare (plans) $16 95%
Victory Health $16 95%
Viva Health $16 - $136 95%
Aetna $17 - $19 101%
Cigna $17 - $32 101%
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%
Alabama Psych $19 113%
Node Us Dept Of Labor $21 125%
Blue Cross Blue Shield $22 131%
Ambetter / Centene $25 149%
Healthspring $29 173%
Self Pay $29 - $59 173%
Bp Health Advocate $48 - $62 286%
Ag Administrators $68 - $86 405%
Alamed $68 - $86 405%
Choicecare $68 - $86 405%
Drummond $68 - $86 405%
American Employee Alliance $77 - $99 458%
Healthchoice $96 - $148 571%
Value Options $96 - $124 571%
First Health $116 - $193 690%
Multiplan $118 - $173 702%
Blue Bell Creameries $135 - $173 804%
Natl Comp Care $145 - $185 863%
Usa Ppo $145 - $185 863%
Coventry Work Comp Al $151 - $193 899%
Novanet $156 - $199 929%
Alabama Wc $164 - $210 976%
Cal-Med $164 - $210 976%
Corvel $164 - $210 976%
Associated Admin $174 - $222 1036%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals