CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Piedmont Eastside Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $142
Cash Discount Price: $69
vs. Medicare Baseline: 8.45x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Piedmont Eastside Medical Center is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 8.45x the Medicare baseline. Located in 1700 Medical Way, Snellville, GA.

Cash / Self-Pay

$69

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

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: $69 (411%)

Insurance Median: $142 (845%)

Cash: $69 (411% of Medicare)

Ins. Median: $142 (845% 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 845% of the Medicare baseline (a markup of 745%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$15	89%
Medicaid / KanCare	$18 - $60	107%
Blue Cross Blue Shield	$21	125%
Cigna	$26 - $37	155%
Phcs [10601]	$131 - $146	780%
Industry Buying Group [10840]	$142 - $158	845%
First Health [10303]	$153 - $170	911%
Kaiser [10500]	$162 - $180	964%
Novanet [10819]	$164 - $182	976%
Multiplan [10600]	$197 - $219	1173%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $69.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Piedmont Eastside Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.