CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Lincolnhealth

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $130
Cash Discount Price: $197
vs. Medicare Baseline: 7.74x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Lincolnhealth is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 7.74x the Medicare baseline. Located in 35 Miles Street, Damariscotta, ME.

Cash / Self-Pay

$197

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $197 (1173%)

Insurance Median: $130 (774%)

Cash: $197 (1173% of Medicare)

Ins. Median: $130 (774% 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 774% of the Medicare baseline (a markup of 674%). 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	$17 - $178	101%
Harvard Pilgrim Healthcare	$17 - $185	101%
Humana	$20 - $75	119%
Community Health Options	$35 - $182	208%
Blue Cross Blue Shield	$37 - $178	220%
UnitedHealthcare	$75 - $185	446%
Wellcare	$78	464%
Cigna	$179	1065%
Multiplan	$185	1101%

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 $197.
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 Lincolnhealth 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.