CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $55
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 3.27x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Alice Peck Day Memorial Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.27x the Medicare baseline. Located in 10 Alice Peck Day Drive, Lebanon, NH.
Cash / Self-Pay
$79

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $79 (470%)
Insurance Median: $55 (327%)
Cash: $79 (470% of Medicare)
Ins. Median: $55 (327% 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 327% of the Medicare baseline (a markup of 227%). 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
Ambetter / Centene $14 83%
Amerihealth Caritas Granite Mcmp $15 89%
Medicaid / KanCare $15 89%
Nh Healthy Families $15 89%
Blue Cross Blue Shield $27 - $212 161%
Harvard Pilgrim $34 - $206 202%
Tufts $40 - $175 238%
UnitedHealthcare $40 - $171 238%
Cigna $42 - $195 250%
Commercial Generic $42 - $182 250%
Connecticut General $42 - $182 250%
Klais $43 - $184 256%
Aetna $50 - $214 298%
Mvp $50 - $217 298%
Coventry Health $52 - $226 310%
Coventry Health Wc $52 - $226 310%
Wellpoint $55 - $98 327%
Humana $57 - $248 339%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10 Alice Peck Day Drive, Lebanon, NH 03766
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals