CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: North Carolina Baptist Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $66
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 3.93x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at North Carolina Baptist Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.93x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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: $98 (583%)
Insurance Median: $66 (393%)
Cash: $98 (583% of Medicare)
Ins. Median: $66 (393% 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 393% of the Medicare baseline (a markup of 293%). 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
Aetna $17 - $172 101%
Apex $17 101%
Blue Cross Blue Shield $17 - $75 101%
Cigna $17 - $121 101%
Devoted $17 101%
Healthteam $17 101%
Humana $17 - $110 101%
Medicare (plans) $17 101%
UnitedHealthcare $17 - $70 101%
Wellcare $17 - $30 101%
Liberty $19 113%
Medcost $25 - $134 149%
Alliance $30 179%
Amerihealth $30 - $48 179%
Carolina Complete $30 179%
Health Blue $30 179%
Partners $30 179%
Vaya $30 179%
Trillium $31 185%
Ambetter / Centene $43 - $46 256%
Oscar $57 - $73 339%
Directnet $113 - $119 673%
Cone Health $134 - $141 798%
Healthgram $134 - $141 798%
First Carolina Care $153 - $162 911%
Private Healthcare Systems $157 - $166 935%
Multiplan $172 - $182 1024%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals