CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Atrium Health Navicent Peach

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $107
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 6.37x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Atrium Health Navicent Peach is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.37x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $98 (583%)
Insurance Median: $107 (637%)
Cash: $98 (583% of Medicare)
Ins. Median: $107 (637% 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 637% of the Medicare baseline (a markup of 537%). 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
Blue Cross Blue Shield $21 - $41 125%
Cigna $35 - $142 208%
Aetna $41 - $115 244%
Georgia Health Advantage $41 244%
Humana $41 - $166 244%
Pruitt Health $41 244%
UnitedHealthcare $41 - $123 244%
Care Source $42 250%
Clover $42 250%
Eon Health $42 250%
Securehealth $42 - $127 250%
Ambetter / Centene $58 - $99 345%
Alliant $96 571%
Multiplan $127 - $156 756%
Novanet $156 929%
Three Rivers Provider Network $166 988%
Beechstreet $181 1077%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1960 Highway 247 Connector, Byron, GA 31008
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals