CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Avoyelles Hospital
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $69
- Cash Discount Price: $35
- vs. Medicare Baseline: 4.11x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Avoyelles Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.11x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$35
Average discount available for prompt cash payment at this facility.
Insurance Median
$69
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: $35 (208%)
Insurance Median: $69 (411%)
Cash: $35 (208% of Medicare)
Ins. Median: $69 (411% 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 411% of the Medicare baseline (a markup of 311%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $16 - $65 | 95% |
| Aetna | $17 - $65 | 101% |
| Bankers Life | $17 | 101% |
| Champva | $17 | 101% |
| Cigna | $17 - $65 | 101% |
| Correct Cr Int Hlt | $17 - $24 | 101% |
| Mcd Amerihealth Caritas | $17 - $24 | 101% |
| Mcd Healthy Blue | $17 - $24 | 101% |
| Mcd La Hc Conn | $17 - $24 | 101% |
| Mcr Lagniappe | $17 | 101% |
| Medeico Ins Co | $17 | 101% |
| Medicaid / KanCare | $17 - $24 | 101% |
| Medicare (plans) | $17 | 101% |
| Mmc Allwell | $17 | 101% |
| Mmc Blue Advantage | $17 | 101% |
| Mmc Healthy Blue Dual Adv | $17 | 101% |
| Mmc Mcr Hmo Miscellaneous | $17 | 101% |
| Mmc Priority Hlth Pffs | $17 | 101% |
| Mmc Vantage Hlth | $17 | 101% |
| Mmc Wellcare | $17 | 101% |
| Mutual Of Omaha | $17 | 101% |
| Neba Inc | $17 | 101% |
| Philadelphia American Lif | $17 | 101% |
| Sentinel Security Life | $17 | 101% |
| Trustmark Health Benefits | $17 - $115 | 101% |
| Tunica Biloxi | $17 - $115 | 101% |
| United Amer Ins | $17 | 101% |
| UnitedHealthcare | $17 - $24 | 101% |
| Veterans Evaluation Serv | $17 | 101% |
| Wps Vacca | $17 | 101% |
| Mcd Ms | $18 - $26 | 107% |
| All Savers | $21 | 125% |
| Geha | $21 | 125% |
| United Hlth One | $21 | 125% |
| Gulf South Zelis | $22 | 131% |
| Amer Contl Ins | $26 - $65 | 155% |
| Blue Cross Blue Shield | $26 | 155% |
| Coventry | $26 - $65 | 155% |
| First Choice Health | $26 - $65 | 155% |
| Meritan Health | $26 - $115 | 155% |
| Ofc Of Grp Bene | $26 | 155% |
| Student Assurances | $34 - $115 | 202% |
| Ppo Plus Llc | $69 | 411% |
| Zelis Healthcare Bpa | $69 | 411% |
| Gilsbar | $72 | 429% |
| Amerind | $104 | 619% |
| Applied Underwriters | $104 | 619% |
| Sedgwick | $104 | 619% |
| Us Dept Of Labor | $104 | 619% |
| Wc Clms Admin Svcs | $104 | 619% |
| Wc Clms Mgmnt Walmart | $104 | 619% |
| Wc Esis | $104 | 619% |
| Wc Fara | $104 | 619% |
| Wc Gallagher Bassett | $104 | 619% |
| Wc Guide One | $104 | 619% |
| Wc Hartford Med | $104 | 619% |
| Wc Luba | $104 | 619% |
| Wc Lwcc | $104 | 619% |
| Wc Paragon Casino Resort | $104 | 619% |
| Wc Risk Mgmnt | $104 | 619% |
| Wc Stone Trust | $104 | 619% |
| Wc Summit Consulting Hold | $104 | 619% |
| Wc Travelers Ins | $104 | 619% |
| Wc Trs Workers Comp Claim | $104 | 619% |
| Wc Us Dol | $104 | 619% |
| Wc Zurich | $104 | 619% |
| Aarp | $115 | 685% |
| Admin Concepts | $115 | 685% |
| All Saints Hospice | $115 | 685% |
| All State | $115 | 685% |
| Allegiance Health Hospice | $115 | 685% |
| Allied Natl | $115 | 685% |
| Amfirst | $115 | 685% |
| Avoy Parish School Board | $115 | 685% |
| Avoyelles Parish Sheriff | $115 | 685% |
| Bollinger | $115 | 685% |
| Ccmsi | $115 | 685% |
| Central States | $115 | 685% |
| Christus Health Plan | $115 | 685% |
| Compassionate Care Hospic | $115 | 685% |
| Core Source | $115 | 685% |
| Coushatta Hlth Dept | $115 | 685% |
| Ebms | $115 | 685% |
| Federated Ins | $115 | 685% |
| Feedom Life | $115 | 685% |
| Fidelity Standard Life Co | $115 | 685% |
| Fox Everette | $115 | 685% |
| Guarantee Trust | $115 | 685% |
| Heart Of Hospice | $115 | 685% |
| Hos Christus Hospice | $115 | 685% |
| Hos Guardian Hospice Care | $115 | 685% |
| Hos Harbor Hospice Alex | $115 | 685% |
| Hos La Hospice Palliative | $115 | 685% |
| Hos Passages Hospice N. | $115 | 685% |
| Hos St Joseph Hospice | $115 | 685% |
| Hospice Miscellaneous | $115 | 685% |
| Ins Mgmnt Admin | $115 | 685% |
| Ins Tpa | $115 | 685% |
| Liberty Health Share | $115 | 685% |
| Lumico | $115 | 685% |
| Manhattan Life Ins | $115 | 685% |
| Medi Share | $115 | 685% |
| Misc Comm | $115 | 685% |
| Nalc | $115 | 685% |
| New Era Life | $115 | 685% |
| North American | $115 | 685% |
| Phcs | $115 | 685% |
| Physicians Mutual | $115 | 685% |
| Pipeline Ind Bene | $115 | 685% |
| Progressive Auto | $115 | 685% |
| Reliance Standard Life | $115 | 685% |
| Rural Carriers | $115 | 685% |
| Shelter Ins Co | $115 | 685% |
| Sierre Health And Life | $115 | 685% |
| State Farm | $115 | 685% |
| State Mutual | $115 | 685% |
| Sterling Investors | $115 | 685% |
| The Health Plan | $115 | 685% |
| Tribal Hlth Partners | $115 | 685% |
| Tricare | $115 | 685% |
| Uct | $115 | 685% |
| Unified Life | $115 | 685% |
| Usaa Life Ins | $115 | 685% |
| Web-Tpa | $115 | 685% |
| Woodmen Of The World | $115 | 685% |