CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $35
Cash Discount Price: $24
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mary Hitchcock Memorial Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.08x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $24 (143%)

Insurance Median: $35 (208%)

Cash: $24 (143% of Medicare)

Ins. Median: $35 (208% 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 208% of the Medicare baseline (a markup of 108%). 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 Caritas Nh	$6 - $15	36%
Beacon Health Strategies/Carelon	$7 - $15	42%
Granite State Health Plan	$7 - $15	42%
UnitedHealthcare	$7 - $78	42%
Wellsense Health Plan	$7 - $18	42%
Blue Cross Blue Shield	$11 - $218	65%
Aetna	$17 - $71	101%
Cigna	$17 - $101	101%
Harvard Pilgrim Health Care Of Ne	$17 - $68	101%
Martin'S Point Generations Advantage	$17	101%
Martin'S Point Health Care	$17 - $35	101%
Mvp	$17 - $68	101%
Wellcare Health Plans	$17	101%
Ambetter / Centene	$18 - $55	107%
Tufts Health Plan	$31 - $62	185%
Mass General Brigham Health Plan	$32 - $63	190%
Maine Community Health Options	$35 - $74	208%
Coventry	$48 - $88	286%
First Health/Hcvm	$48 - $88	286%
Phcs	$50 - $91	298%
Corvel	$51 - $93	304%
Ccmsi	$52 - $96	310%

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 $24.
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 Mary Hitchcock Memorial Hospital 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.