CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: PAM Specialty Hospital of Hammond

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $200
  • Cash Discount Price: $267
  • vs. Medicare Baseline: 11.90x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at PAM Specialty Hospital of Hammond is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 11.90x the Medicare baseline. Located in 42074 Veterans Ave, Hammond, LA.
Cash / Self-Pay
$267

Average discount available for prompt cash payment at this facility.

Insurance Median
$200

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: $267 (1589%)
Insurance Median: $200 (1190%)
Cash: $267 (1589% of Medicare)
Ins. Median: $200 (1190% 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 1190% of the Medicare baseline (a markup of 1090%). 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.

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
America'S Choice $187 1113%
Provider Network Of America $200 1190%
Quik Trip $200 1190%
Usa Managed Care Organization $200 1190%
Velocity Provider Ppo Network $200 1190%
Multiplan/Phcs $213 1268%
Medincrease $240 1429%
Vantage Health Plan $240 1429%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 42074 Veterans Ave, Hammond, LA 70403
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL