CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Athur M Blank Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $339
Cash Discount Price: $495
vs. Medicare Baseline: 20.18x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Athur M Blank Hospital is $339. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $495. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 20.18x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$495

Average discount available for prompt cash payment at this facility.

Insurance Median

$339

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: $495 (2946%)

Insurance Median: $339 (2018%)

Cash: $495 (2946% of Medicare)

Ins. Median: $339 (2018% 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 2018% of the Medicare baseline (a markup of 1918%). 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
Caresource [61]	$24	143%
Peachstate [43]	$24	143%
Amerigroup [102]	$27	161%
Cigna	$327	1946%
Blue Cross Blue Shield	$328 - $483	1952%
United [5]	$328	1952%
Ambetter / Centene	$331	1970%
Oscar [228]	$332	1976%
Aetna	$333	1982%
Caresource Marketplace Bronze/Silver/Gold [60]	$336	2000%
Kaiser [6]	$337	2006%
Sidecar Health [236]	$342	2036%
Direct Employer Agreements [72]	$346 - $421	2060%
Coventry [9]	$347	2065%
Northeast Georgia Heatlh System [808]	$371	2208%
Veracity Benefits [809]	$371	2208%
First Health [74]	$372	2214%
Phcs [93]	$421	2506%
Secure Health [340]	$421	2506%
Beech Street [71]	$446	2655%
Multiplan [92]	$485	2887%
Novanet [41]	$495	2946%

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 $495.
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 Athur M Blank Hospital 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.