CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Nemours Children's Hospital, Delaware

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $70
  • Cash Discount Price: $244
  • vs. Medicare Baseline: 4.17x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Nemours Children's Hospital, Delaware is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $244. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.17x the Medicare baseline. Located in 1600 Rockland Rd Po Box 269, Wilmington, DE.
Cash / Self-Pay
$244

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $244 (1452%)
Insurance Median: $70 (417%)
Cash: $244 (1452% of Medicare)
Ins. Median: $70 (417% 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 417% of the Medicare baseline (a markup of 317%). 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
Keystone First Hlth Plan $15 - $183 89%
Priority Partners John Hopkins $16 - $203 95%
Tricare $17 101%
Us Family Health Plan $20 119%
Amerihealth Caritas Delaware $23 - $235 137%
Blue Cross Blue Shield $23 - $365 137%
Celtic Transplant For De First Health $26 - $145 155%
Delaware First Health $27 - $149 161%
UnitedHealthcare $27 - $258 161%
Wellpoint Maryland $27 - $153 161%
Kidz Partners $28 - $156 167%
Celtic Transplant $29 - $413 173%
Health Partners $29 - $160 173%
Upmc $29 - $164 173%
Fidelis $30 - $165 179%
Aetna $31 - $240 185%
Six Degrees Health Transplant $37 - $206 220%
Cigna $41 - $260 244%
Great West-One Health Plan $41 - $260 244%
Ambetter / Centene $42 - $235 250%
Geisinger Health Plan $44 - $248 262%
Integra Administrative Group $44 - $248 262%
National Transplant Network (Ntn) $48 - $268 286%
Six Degrees Health $48 - $268 286%
Star Healthcare Network $48 - $268 286%
Life Trac Solid Organ And Bmt Transplant $52 - $289 310%
First Health Network $70 - $392 417%
Insurance Administrators Of America $70 - $392 417%
Interlink Transplant Network $70 - $392 417%
Multiplan $70 - $392 417%
Preferred Healthcare $70 - $392 417%
Private Healthcare Systems $70 - $392 417%
Three Rivers Provider Network $70 - $392 417%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Rockland Rd Po Box 269, Wilmington, DE 19899
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens