CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Norton-King's Daughters' Health

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $89
Cash Discount Price: $25
vs. Medicare Baseline: 5.30x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Norton-King's Daughters' Health is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.30x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $25 (149%)

Insurance Median: $89 (530%)

Cash: $25 (149% of Medicare)

Ins. Median: $89 (530% 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 530% of the Medicare baseline (a markup of 430%). 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
Aetna	$13 - $100	77%
Blue Cross Blue Shield	$17 - $39	101%
Humana	$17	101%
Managed Health Services	$17 - $26	101%
Managed Health Services Of Indiana	$17	101%
Managed Health Services Of Kentucky	$17	101%
Passport By Molina	$17	101%
UnitedHealthcare	$17 - $89	101%
Caresource Of Kentucky	$24	143%
Caresource Of Indiana	$25	149%
Custom Design Benefits	$34 - $57	202%
Cigna	$97	577%
Encore	$97	577%
Quality Care Partners	$101	601%
Bluegrass	$103	613%
First Health	$103	613%
Healthlink	$103	613%
Vha/Tristate	$103	613%
Multiplan/Phcs	$105	625%
Indiana Health Network	$108	643%
Siho	$108	643%

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 $25.
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 Norton-King's Daughters' Health 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.