CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Central Florida Lake Monroe Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $33
  • Cash Discount Price: $138
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Central Florida Lake Monroe Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.96x the Medicare baseline. Located in 1401 W Seminole Blvd, Sanford, FL.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $138 (821%)
Insurance Median: $33 (196%)
Cash: $138 (821% of Medicare)
Ins. Median: $33 (196% 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
Freedom Health $8 - $12 48%
Optimum $8 - $12 48%
Humana $15 - $67 89%
Aetna $17 - $50 101%
Blue Cross Blue Shield $17 101%
Devoted Health $17 101%
Fl Health Care Plan $17 101%
Ndms Definitive Care $17 101%
Simply $17 - $25 101%
United $17 - $74 101%
Wellmed $17 101%
Align Senior Care $18 107%
American Health Plan $18 107%
Avmed $18 - $83 107%
Centurion $18 107%
Cigna $18 107%
Clear Spring Health $18 107%
Florida Complete Care $18 107%
Gold Kidney Of Florida $18 107%
Seminole County Sheriffs Office $18 107%
Sunshine State $18 107%
Wellcare $18 107%
Careplus $19 113%
Ultimate Health Plan $19 113%
Longevity Health Plan $20 119%
Molina Healthcare $21 - $53 125%
Oscar $24 143%
Solis Health Plan $24 143%
Evolutions $25 - $38 149%
Simply Healthcare $26 155%
Sunshine State Health Plan $28 - $42 167%
Florida Health Care Plan $42 - $62 250%
Plotkin Health $55 - $83 327%
Prime Health Sheriff $55 - $83 327%
Multiplan $83 - $141 494%
Three Rivers Provider Network $83 - $124 494%
Ppo Next $94 - $141 560%
Novanet $99 - $149 589%
Corvel Corporation $174 1036%
Prime Health $178 1060%
Careworks (Rockport Community) $183 1089%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 W Seminole Blvd, Sanford, FL 32771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals