CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Eastern New Mexico Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $101
  • Cash Discount Price: $90
  • vs. Medicare Baseline: 6.01x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Eastern New Mexico Medical Center is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.01x the Medicare baseline. Located in 405 W Country Club Road, Roswell, NM.
Cash / Self-Pay
$90

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $90 (536%)
Insurance Median: $101 (601%)
Cash: $90 (536% of Medicare)
Ins. Median: $101 (601% 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 601% of the Medicare baseline (a markup of 501%). 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
Node Champva $15 89%
Tricare $15 89%
Medicare (plans) $16 95%
Node Presbyterian Mcr Adv $16 95%
Blue Cross Blue Shield $17 - $437 101%
Humana $17 101%
Node Devoted Health Mcr Adv $17 101%
Node Hospice Non Par Agree $17 101%
Node Molina Mcr Adv $17 101%
Node Va $17 101%
Node Western Sky Mcr Adv $17 101%
Triwest $17 101%
UnitedHealthcare $17 - $390 101%
Veterans Eval Services $17 101%
Nm Work Comp $19 - $225 113%
Presbyterian Mcd $20 119%
Medicaid / KanCare $21 125%
Node Wexford Health $21 125%
Us Dept Of Labor $21 125%
Self Pay $26 - $243 155%
Health Connections $37 220%
Node Molina Health Exchange $46 274%
Capstar $55 - $281 327%
Zelis Nmmip $77 - $393 458%
Presbyterian Commercial $83 - $420 494%
Cigna $87 - $443 518%
Firstcare Tx $92 - $468 548%
Admar $98 - $499 583%
Omni $98 - $593 583%
Multiplan Primary $103 - $524 613%
Aetna $104 - $526 619%
Healthsmart $105 - $531 625%
Multiplan Complementary $107 - $543 637%
Zelis $108 - $549 643%
Affordable $114 - $581 679%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 405 W Country Club Road, Roswell, NM 88201
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals