CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $54
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 3.21x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Atrium Health Navicent Rehabilitation Hopsital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.21x the Medicare baseline. Located in 3351 Northside Dr, Macon, GA.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $114 (679%)
Insurance Median: $54 (321%)
Cash: $114 (679% of Medicare)
Ins. Median: $54 (321% 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 321% of the Medicare baseline (a markup of 221%). 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
UnitedHealthcare $10 - $92 60%
Aetna $17 - $159 101%
Alliant $17 - $20 101%
Blue Cross Blue Shield $17 - $21 101%
Care Source $17 101%
Clover $17 101%
Eon Health $17 101%
Georgia Health Advantage $17 101%
Humana $17 - $156 101%
Pruitt Health $17 101%
Kaiser $18 - $60 107%
Cigna $23 - $45 137%
Securehealth $42 - $79 250%
Ibg $60 - $160 357%
Ambetter / Centene $68 - $116 405%
Multiplan $148 - $182 881%
Novanet $182 1083%
Three Rivers Provider Network $193 1149%
Beechstreet $211 1256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3351 Northside Dr, Macon, GA 31210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL