CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $59
Cash Discount Price: $80
vs. Medicare Baseline: 3.51x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Novant Health Presbyterian Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.51x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $80 (476%)

Insurance Median: $59 (351%)

Cash: $80 (476% of Medicare)

Ins. Median: $59 (351% 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 351% of the Medicare baseline (a markup of 251%). 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	$14 - $43	83%
Blue Cross Blue Shield	$14 - $173	83%
Carolina Complete	$14 - $42	83%
Nc Department Of Public Safety	$14 - $42	83%
UnitedHealthcare	$14 - $140	83%
Wellcare	$14 - $43	83%
Aetna	$17 - $192	101%
Cigna	$17 - $124	101%
Humana	$17 - $173	101%
Pace Of The Southern Piedmont	$17	101%
Liberty Health	$18	107%
Caresource North Carolina	$26 - $79	155%
Atlantic Corporation Dba Atlantic Packaging	$36 - $110	214%
Amps	$43 - $132	256%
Plotkin Health	$47 - $144	280%
Medcost	$56 - $180	333%
Primary Physician Care	$58 - $178	345%
Multiplan	$59 - $180	351%
Phcs	$59 - $180	351%
Employers Choice Network	$77 - $233	458%
Three Rivers Provider Network	$77 - $233	458%

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 $80.
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 Presbyterian 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.