CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Northside Hospital Cherokee

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $93
  • Cash Discount Price: $226
  • vs. Medicare Baseline: 5.54x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Northside Hospital Cherokee is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.54x the Medicare baseline. Located in 450 Northside Cherokee Boulevard, Canton, GA.
Cash / Self-Pay
$226

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $226 (1345%)
Insurance Median: $93 (554%)
Cash: $226 (1345% of Medicare)
Ins. Median: $93 (554% 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 554% of the Medicare baseline (a markup of 454%). 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
Fairly Group $13 77%
UnitedHealthcare $13 - $79 77%
Amerigroup $16 - $73 95%
Blue Cross Blue Shield $16 - $344 95%
Cigna $16 - $311 95%
Clear Springs Eon Health $16 95%
Medicare (plans) $16 - $20 95%
Va Ccn $16 95%
Aetna $17 - $99 101%
Bccp $17 101%
Caresource $17 - $184 101%
Cbww $17 101%
Clover Health $17 101%
Coventry $17 - $336 101%
Humana $17 101%
Kaiser $17 - $430 101%
Medicaid / KanCare $17 - $19 101%
Pruitt Health Premier $17 101%
Wellcare $17 101%
Champus Va $18 107%
Tricare $18 107%
Ambetter / Centene $20 - $95 119%
Us Dept Of Labor Wc $21 125%
Oscar $25 149%
Streamline Imaging $25 149%
Corvel Workers Comp $26 155%
Employers Choice Network $26 155%
Georgia Workers Compensation $28 167%
Northside Health Network $33 - $148 196%
Georgia Reproductive Specialists $44 - $198 262%
Medlien Healthcare Services $44 - $198 262%
Med Care Solutions $49 - $222 292%
Health One Alliance_Ppo $60 - $272 357%
Quick Trip $60 - $272 357%
Novanet_Ppo $76 - $346 452%
Phcs $82 - $370 488%
Beech Steet $93 - $420 554%
Multiplan $93 - $420 554%
Multiplan Workers Comp $93 - $420 554%
Careiq $109 - $494 649%
Cherokee County Board Of Health $109 - $494 649%
Dekalb_Department Of Health $109 - $494 649%
Fifa $109 - $494 649%
Institutional Marietta Surgery Center $109 - $494 649%
Institutional Veterans Evaluation Services $109 - $494 649%
Rabun County Boc $109 - $494 649%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Northside Cherokee Boulevard, Canton, GA 30115
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals