CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Palmetto General Hospital
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $20
- Cash Discount Price: $344
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Palmetto General Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $344. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.19x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$344
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
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: $344 (2048%)
Insurance Median: $20 (119%)
Cash: $344 (2048% of Medicare)
Ins. Median: $20 (119% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $7 - $140 | 42% |
| Medicaid / KanCare | $7 - $344 | 42% |
| UnitedHealthcare | $7 - $16 | 42% |
| Cigna | $8 - $172 | 48% |
| Aetna | $10 - $245 | 60% |
| Veterans Administration Mill Bill | $12 | 71% |
| Avmed Broad Network | $15 | 89% |
| Medicare (plans) | $15 - $344 | 89% |
| Devoted Health | $16 | 95% |
| Leon Health Inc | $16 | 95% |
| Bristol Hospice- Miami Dade Llc | $17 | 101% |
| Catholic Hospice | $17 | 101% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $17 | 101% |
| Employer Direct Healthcare | $17 - $21 | 101% |
| Healthsun Health Plans | $17 | 101% |
| Hospice Other | $17 | 101% |
| Ima Evalutations Inc | $17 | 101% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $17 | 101% |
| Opuscare Of South Fl | $17 | 101% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $17 | 101% |
| Select Specialty Hospital | $17 | 101% |
| Tricare | $17 | 101% |
| Veterans Administration Vaccn | $17 | 101% |
| Vitas Healthcare Hospice | $17 | 101% |
| Westchester General Hospital | $17 | 101% |
| Longevity Health Plan | $18 | 107% |
| Bright Health Management Commercial | $20 | 119% |
| Florida Pace Centers | $20 | 119% |
| Imagine Health | $20 | 119% |
| Oscar Health Plan Hix | $20 | 119% |
| Self Pay/Uninsured | $21 | 125% |
| Dimension Health Wc | $23 | 137% |
| Naphcare Inc | $23 | 137% |
| Workers Compensation | $23 | 137% |
| Avmed Exchange | $29 | 173% |
| Ambetter / Centene | $31 | 185% |
| Molina Marketplace Program Exchange | $32 | 190% |
| Auto Insurance | $34 | 202% |
| Avmed Select Network | $34 | 202% |
| Amerihealth Caritas Next Exchange | $36 | 214% |
| Bc/Bs Myblue Hmo Hix | $49 | 292% |
| Bc/Bs Of Fl Network Blue | $49 | 292% |
| Bc/Bs Of Fl Simplyblue | $49 | 292% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $53 | 315% |
| Bc/Bs Of Fl Health Options Hmo | $53 | 315% |
| Bc/Bs Of Fl Ppo | $53 | 315% |
| Bc/Bs Of Fl Miami Dade Blue Select | $69 | 411% |
| Liga Contra El Cancer | $172 | 1024% |
| Bc/Bs Of Fl Phs | $173 | 1030% |
| Magellan Behavioral Health | $207 | 1232% |
| Dimensions International | $224 | 1333% |
| First Health | $231 | 1375% |
| Dimension Health Ppo | $258 | 1536% |
| Beacon Health Strategies Commercial | $344 | 2048% |
| Commercial Non-Contracted | $344 | 2048% |
| Self Pay - Mcd Pending 100 Percent | $344 | 2048% |
| Single Case Agreement | $344 | 2048% |
| United Behavioral Health Psych | $344 | 2048% |