CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Holmes County Hospital and Clinics

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $56
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 3.33x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Holmes County Hospital and Clinics is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.33x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $30 (179%)
Insurance Median: $56 (333%)
Cash: $30 (179% of Medicare)
Ins. Median: $56 (333% 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 333% of the Medicare baseline (a markup of 233%). 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
Ms-Can-Magnolia-Lex $16 95%
Ms-Can-Molina-Lex $16 95%
Ms-Can-Truecare-Lex $16 95%
United-Lex $28 167%
United-Options-Lex $28 167%
Molina-Chip-Lex $33 196%
Magnolia-Chip-Lex $34 202%
Truecare-Chip-Lex $34 202%
Cigna $43 256%
Tricare $45 268%
Humana $46 274%
Mpcn-Lex $48 286%
Medadv_Uhc-Lex $50 298%
Firstchoice-Lex $52 310%
Advhealth-Lex $56 333%
Ambetter / Centene $56 333%
Medadv_Primewell-Lex $56 333%
Medicare (plans) $56 333%
Primewell-Lex $56 333%
Va_Ccn-Lex $56 333%
Medadv_Uhcdsnp-Lex $57 339%
Wellcare-Lex $57 339%
Devoted_Health-Lex $58 345%
Ppoplus $58 345%
Blue Cross Blue Shield $59 351%
Firsthealth-Lex $59 351%
Multiplan-Lex $59 351%
Aetna $63 375%
Phcs-Lex $67 399%
Molina_Exchange-Lex $74 440%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 239 Bowling Green Road, Lexington, MS 39095
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals