CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Wilkes Regional Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $66
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 3.93x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Wilkes Regional Medical Center is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.93x the Medicare baseline. Located in 1370 West D St, North Wilkesboro, NC.
Cash / Self-Pay
$65

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: $65 (387%)
Insurance Median: $66 (393%)
Cash: $65 (387% 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
Healthteam $17 101%
Alliance $30 179%
Amerihealth $30 - $75 179%
Carolina Complete $30 179%
Healthblue $30 179%
Partners $30 179%
UnitedHealthcare $30 - $69 179%
Vaya $30 179%
Wellcare $30 179%
Trillium $31 185%
Medcost $37 - $92 220%
Aetna $49 - $89 292%
Blue Cross Blue Shield $50 - $75 298%
Ambetter / Centene $61 - $79 363%
Cigna $68 - $70 405%
Oscar $71 - $84 423%
Directnet $76 452%
Private Healthcare Systems $116 690%
Multiplan $119 708%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1370 West D St, North Wilkesboro, NC 28659
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals