CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Franklin General Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $71
Cash Discount Price: $147
vs. Medicare Baseline: 4.23x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Franklin General Hospital is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.23x the Medicare baseline. Located in 1720 Central Avenue East, Hampton, IA.

Cash / Self-Pay

$147

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $147 (875%)

Insurance Median: $71 (423%)

Cash: $147 (875% of Medicare)

Ins. Median: $71 (423% 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 423% of the Medicare baseline (a markup of 323%). 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	$26 - $140	155%
Wellmark Hmo	$47	280%
Wellmark Ppo - All Other Plans	$52	310%
Amerigroup Mcare	$63 - $68	375%
Medical Associates Mcare	$63 - $68	375%
Mount Carmel Hp-All Plans	$63 - $68	375%
Tricare	$63 - $68	375%
Wellmark Mcr Adv	$63 - $68	375%
Molina Mcare	$65 - $70	387%
Ambetter / Centene	$66 - $108	393%
American Hp Iowa - All Plans	$66 - $71	393%
Amerigroup Mcaid - All Other Plans	$66 - $71	393%
Molina Mcaid - All Other Plans	$67 - $72	399%
Centivo - All Plans	$94 - $101	560%
Medical Ass Hosp Employer Group	$94 - $101	560%
Oscar - All Plans	$94 - $101	560%
Midlands Choice-All Plans	$110 - $118	655%
Medical Associates Hp-All Other Plans	$133 - $144	792%
Preferred Health Choices-All Plans	$133 - $144	792%
Splashlight Llc-All Plans	$133 - $144	792%
Aetna	$146 - $161	869%
Multiplan-All Plans	$149 - $161	887%

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 $147.
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 Franklin General 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.