CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Emanuel Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $208
  • Cash Discount Price: $266
  • vs. Medicare Baseline: 12.38x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Emanuel Medical Center is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 12.38x the Medicare baseline. Located in 117 Kite Road, Swainsboro, GA.
Cash / Self-Pay
$266

Average discount available for prompt cash payment at this facility.

Insurance Median
$208

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: $266 (1583%)
Insurance Median: $208 (1238%)
Cash: $266 (1583% of Medicare)
Ins. Median: $208 (1238% 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 1238% of the Medicare baseline (a markup of 1138%). 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
Ambetter / Centene $17 101%
Blue Cross Blue Shield $36 - $231 214%
Meritain $177 1054%
Cigna $192 1143%
Aetna $224 - $284 1333%
Health Smart $266 1583%
Humana $267 1589%
UnitedHealthcare $302 - $355 1798%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 117 Kite Road, Swainsboro, GA 30401
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals