CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Atrium Health Union

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $148
  • Cash Discount Price: $187
  • vs. Medicare Baseline: 8.81x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Atrium Health Union is $148. 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 8.81x the Medicare baseline. Located in 600 Hospital Dr, Monroe, NC.
Cash / Self-Pay
$187

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $148 (881%)
Cash: $187 (1113% of Medicare)
Ins. Median: $148 (881% 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 881% of the Medicare baseline (a markup of 781%). 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 - $228 101%
Humana $17 101%
Cigna $18 - $252 107%
UnitedHealthcare $18 - $177 107%
Alliance $20 - $58 119%
Amerihealth Caritas $20 - $30 119%
Blue Cross Blue Shield $20 - $139 119%
Carolina Complete Health $20 - $50 119%
Healthy Blue $20 - $50 119%
Partners $20 - $30 119%
Trillium $20 - $30 119%
Vaya $20 - $30 119%
Wellcare $20 - $50 119%
Ortho Carolina $21 125%
Choicecare $22 - $318 131%
Ambetter / Centene $111 - $136 661%
Employers Health Network $165 - $198 982%
Medcost $202 - $243 1202%
Magellan $224 1333%
Gmmi $243 1446%
Quik Trip $243 1446%
Healthgram $299 1780%
First Health $318 1893%
Beechstreet $337 2006%
Private Health Care Systems $337 2006%
Provider Select $337 2006%
Multiplan $355 2113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Hospital Dr, Monroe, NC 28112
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals