CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Lexington Memorial Hospital Inc

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $63
Cash Discount Price: $72
vs. Medicare Baseline: 3.75x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Lexington Memorial Hospital Inc is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.75x the Medicare baseline. Located in 250 Hospital Drive Po Box 1817, Lexington, NC.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$63

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: $72 (429%)

Insurance Median: $63 (375%)

Cash: $72 (429% of Medicare)

Ins. Median: $63 (375% 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 375% of the Medicare baseline (a markup of 275%). 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
Blue Cross Blue Shield	$21 - $34	125%
Ambetter / Centene	$22	131%
Amerihealth	$22 - $30	131%
Alliance	$30	179%
Carolina Complete	$30	179%
Healthy Blue	$30	179%
Partners	$30	179%
UnitedHealthcare	$30 - $64	179%
Vaya	$30	179%
Wellcare	$30	179%
Medcost	$31 - $96	185%
Trillium	$31	185%
Aetna	$41 - $132	244%
Oscar	$46 - $63	274%
Cigna	$62 - $63	369%
Directnet	$85	506%
Healthgram Lexington Home Brands	$103	613%
Healthgram	$114	679%
Private Healthcare Systems	$117	696%
Beechstreet	$126	750%
Humana	$126	750%
Multiplan	$129	768%
National Provider Network	$129	768%

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 $72.
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 Lexington Memorial Hospital Inc 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.