CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Novant Health Forsyth Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $104
Cash Discount Price: $104
vs. Medicare Baseline: 6.19x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Novant Health Forsyth Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.19x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $104 (619%)

Insurance Median: $104 (619%)

Cash: $104 (619% of Medicare)

Ins. Median: $104 (619% 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 619% of the Medicare baseline (a markup of 519%). 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
Amerihealth	$13 - $45	77%
Blue Cross Blue Shield	$13 - $173	77%
Carolina Complete	$13 - $45	77%
Nc Department Of Public Safety	$13 - $45	77%
UnitedHealthcare	$13 - $162	77%
Wellcare	$13 - $45	77%
Aetna	$17 - $192	101%
Cigna	$17 - $143	101%
Humana	$17 - $187	101%
Pace Of The Southern Piedmont	$17	101%
Liberty Health	$18	107%
Caresource North Carolina	$28 - $96	167%
Atlantic Corporation Dba Atlantic Packaging	$40 - $136	238%
Plotkin Health	$43 - $144	256%
Amps	$46 - $156	274%
Medcost	$60 - $226	357%
Primary Physician Care	$62 - $211	369%
Beechstreet	$64 - $216	381%
Multiplan	$64 - $216	381%
Phcs	$64 - $216	381%
Employers Choice Network	$69 - $233	411%
Three Rivers Provider Network	$69 - $233	411%

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 $104.
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 Novant Health Forsyth Medical Center 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.