CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Lower Keys Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $28
  • Cash Discount Price: $150
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Lower Keys Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.67x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$150

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $150 (893%)
Insurance Median: $28 (167%)
Cash: $150 (893% of Medicare)
Ins. Median: $28 (167% 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
Florida Childrens Medical Services $10 60%
Humana $10 - $16 60%
Medicaid / KanCare $10 - $11 60%
South Florida Community Care Network $10 60%
Amerigroup $11 65%
Molina $11 65%
Positive Healthcare $11 65%
Simply Healthcare $11 - $150 65%
Wellcare $11 65%
Wellcare Healthease $11 65%
Magellan $12 71%
Prestige Health Choice $12 71%
UnitedHealthcare $14 - $371 83%
Blue Cross Blue Shield $16 - $483 95%
Medicare (plans) $16 95%
Tricare $16 95%
Ultimate Health $16 95%
Node Champva $17 101%
Node Non Par Hospice Agree $17 101%
Node United Behavioral Va Ccn $17 101%
Node Va $17 101%
Veterans Eval Services $17 101%
Correct Care Solutions $18 107%
Node Us Dept Of Labor $21 125%
Prime Health Work Comp Fl $22 131%
Fl Work Comp $23 137%
Heritage Summit Work Comp Fl $23 137%
State Auto Insurance Fl $34 202%
Self Pay $130 - $169 774%
Cigna $285 1696%
Aetna $337 2006%
Monroe County $362 2155%
Evolutions Healthcare Systems $386 - $459 2298%
Keys Energy $386 2298%
Prime Health Ppo $386 2298%
Avmed Health Plan $411 2446%
Direct Healthcare $483 2875%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals