CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Carolinas Medical Center/Behav Health

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $167
  • Cash Discount Price: $187
  • vs. Medicare Baseline: 9.94x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Carolinas Medical Center/Behav Health is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 9.94x the Medicare baseline. Located in 1000 Blythe Blvd, Charlotte, NC.
Cash / Self-Pay
$187

Average discount available for prompt cash payment at this facility.

Insurance Median
$167

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: $187 (1113%)
Insurance Median: $167 (994%)
Cash: $187 (1113% of Medicare)
Ins. Median: $167 (994% 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 994% of the Medicare baseline (a markup of 894%). 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 - $273 101%
Humana $17 - $307 101%
Cigna $18 - $299 107%
UnitedHealthcare $18 - $190 107%
Alliance $20 - $98 119%
Amerihealth Caritas $20 - $30 119%
Blue Cross Blue Shield $20 - $217 119%
Carolina Complete Health $20 - $30 119%
Healthy Blue $20 - $30 119%
Partners $20 - $82 119%
Trillium $20 - $30 119%
Vaya $20 - $30 119%
Wellcare $20 - $30 119%
Ortho Carolina $21 125%
Choicecare $22 - $277 131%
Molina $25 149%
Sandhills $82 488%
Ambetter / Centene $109 - $176 649%
Medcost $116 - $221 690%
Employers Health Network $165 - $198 982%
Physician Reach Out $187 1113%
Magellan $224 1333%
Gmmi $243 1446%
Quik Trip $243 1446%
Carolina Behavioral Health $269 - $299 1601%
First Health $299 - $329 1780%
Healthgram $299 1780%
Private Health Care Systems $299 - $307 1780%
Provider Select $303 - $337 1804%
Lifesynch Community Choice Care $307 1827%
Beechstreet $325 - $329 1935%
Multiplan $337 2006%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Blythe Blvd, Charlotte, NC 28203
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals