CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Tidalhealth Nanticoke, Inc.

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $49
  • Cash Discount Price: $208
  • vs. Medicare Baseline: 2.92x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Tidalhealth Nanticoke, Inc. is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.92x the Medicare baseline. Located in 801 Middleford Rd, Seaford, DE.
Cash / Self-Pay
$208

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $208 (1238%)
Insurance Median: $49 (292%)
Cash: $208 (1238% of Medicare)
Ins. Median: $49 (292% 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 292% of the Medicare baseline (a markup of 192%). 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
Amerihealth_Caritas_Delaware_Mco $17 101%
Aetna $19 113%
Blue Cross Blue Shield $45 268%
Bluechoice_Hmo $49 292%
Cbs_Maryland $49 292%
Cigna $148 881%
United_Healthcare $164 976%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 Middleford Rd, Seaford, DE 19973
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals