CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Claiborne Memorial Medical Center
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $58
- Cash Discount Price: $83
- vs. Medicare Baseline: 3.45x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Claiborne Memorial Medical Center is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.45x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$83
Average discount available for prompt cash payment at this facility.
Insurance Median
$58
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: $83 (494%)
Insurance Median: $58 (345%)
Cash: $83 (494% of Medicare)
Ins. Median: $58 (345% 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 345% of the Medicare baseline (a markup of 245%). 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.
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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 |
|---|---|---|
| Aetna | $17 - $54 | 101% |
| Amerihealth Caritas La | $17 - $36 | 101% |
| Arcadian Community Mcr Hm | $17 | 101% |
| Blue Cross Blue Shield | $17 - $91 | 101% |
| Champus | $17 | 101% |
| Champva | $17 | 101% |
| Cigna | $17 - $63 | 101% |
| Community Health Solution | $17 - $36 | 101% |
| Correctcare Intergrated | $17 - $36 | 101% |
| Healthy Blue | $17 - $36 | 101% |
| Healthy Blue Dual Adv | $17 | 101% |
| Humana | $17 - $83 | 101% |
| Kaiser Foundation Health | $17 | 101% |
| Louisiana Hc Connections | $17 - $36 | 101% |
| Magellan Services | $17 - $36 | 101% |
| Medicaid / KanCare | $17 - $36 | 101% |
| Medicare (plans) | $17 | 101% |
| Peoples Health Network | $17 | 101% |
| Pyramid Claims Mcr Hmo | $17 | 101% |
| Sterling Connect 2 | $17 | 101% |
| Sterling Premier Mc Hmo | $17 | 101% |
| Superior Health Mcr Hmo | $17 | 101% |
| Tenet Mcr Hmo | $17 | 101% |
| Tricare | $17 | 101% |
| United Hc Mcr Hmo | $17 | 101% |
| UnitedHealthcare | $17 - $36 | 101% |
| Universal Hc Mcr Hmo | $17 | 101% |
| Us Dept Of Labor | $17 | 101% |
| Vantage Health Mcr Hmo | $17 | 101% |
| Windsor Sterling Mcr Hmo | $17 | 101% |
| Wps Mvh Vapc3 | $17 | 101% |
| All Savers | $21 | 125% |
| Golden Rule Ins Co | $21 | 125% |
| United Behavioral Health | $21 | 125% |
| Vantage Health Plan Inc | $22 | 131% |
| Ambetter / Centene | $24 | 143% |
| Commercial Insurance | $33 - $83 | 196% |
| Meritain Health | $33 - $54 | 196% |
| Coventry Healthcare | $50 | 298% |
| Geha | $58 | 345% |
| Health Plus Of La | $58 - $63 | 345% |
| Sedgwick Claims Mgmt Serv | $59 - $75 | 351% |
| Workman'S Comp | $59 - $75 | 351% |
| Apwu Healthplan | $63 | 375% |
| Great West Healthcare | $63 | 375% |
| Phcs | $67 | 399% |
| Ppo Plus | $67 | 399% |
| Aarp | $83 | 494% |
| Accordia National | $83 | 494% |
| Aflac | $83 | 494% |
| Alameda Alliance Forhealt | $83 | 494% |
| American Pioneer | $83 | 494% |
| Benefit Management | $83 | 494% |
| Benesys Inc | $83 | 494% |
| Business Guarantor | $83 | 494% |
| Chubb | $83 | 494% |
| Commercial Sr. Care | $83 | 494% |
| Employee Benefit Services | $83 | 494% |
| Family Life Insurance Co | $83 | 494% |
| Farm Bureau Insurance | $83 | 494% |
| Fiserv Health Benefit | $83 | 494% |
| Gmp | $83 | 494% |
| Group And Pension Admin | $83 | 494% |
| Group Resources | $83 | 494% |
| Haik Minvielle And Grubbs | $83 | 494% |
| Harrington Benefit Svs | $83 | 494% |
| Health Design Plus | $83 | 494% |
| Health Plan | $83 | 494% |
| Healthscope Benefits | $83 | 494% |
| Insurance Management Admi | $83 | 494% |
| Jefferson National | $83 | 494% |
| John Alden Health Ins | $83 | 494% |
| John Hancock | $83 | 494% |
| Liberty Mutual | $83 | 494% |
| Mailhandlers Benefit Plan | $83 | 494% |
| Manhattan Life Ins Co | $83 | 494% |
| Mega Life And Health | $83 | 494% |
| Msa Careguard | $83 | 494% |
| Mutual Of Omaha | $83 | 494% |
| Nalc Health Benefit Plan | $83 | 494% |
| Naphcare Inc. | $83 | 494% |
| New Era Life Ins Co | $83 | 494% |
| Physicians Mutual | $83 | 494% |
| Principal Financial Group | $83 | 494% |
| Prudential Healthcare | $83 | 494% |
| Self Pay | $83 | 494% |
| State Farm | $83 | 494% |
| State Farm Insurance | $83 | 494% |
| State Mutual Insurance Co | $83 | 494% |
| Sterling Investors Life | $83 | 494% |
| Tower Life | $83 | 494% |
| Transamerica Premier Ins | $83 | 494% |
| United American | $83 | 494% |
| United Comm Travelers | $83 | 494% |
| United Teachers | $83 | 494% |
| Usable Administrator | $83 | 494% |
| Visn 16 Cfu | $83 | 494% |
| Wausau Benefits | $83 | 494% |
| Webtpa | $83 | 494% |
| Wells Fargo | $83 | 494% |
| Woodmen Of The World | $83 | 494% |