CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Lovelace Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $413
  • Cash Discount Price: $138
  • vs. Medicare Baseline: 24.58x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Lovelace Medical Center is $413. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 24.58x the Medicare baseline. Located in 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$413

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: $138 (821%)
Insurance Median: $413 (2458%)
Cash: $138 (821% of Medicare)
Ins. Median: $413 (2458% 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 2458% of the Medicare baseline (a markup of 2358%). 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
The Health Plan [2915] $93 554%
Healthscope Benefits [2290] $117 696%
UnitedHealthcare $117 696%
Benefit Management [1175] $230 1369%
Magellan Behavioral Commercial [2895] $230 1369%
Presbyterian Health Plan [1830] $230 1369%
Zelis [2385] $230 1369%
Administrative Concepts [1005] $413 2458%
Aetna $413 2458%
Allied Benefit Systems Inc [1030] $413 2458%
Allied National Global Care [1035] $413 2458%
American Medical Security [2190] $413 2458%
Boon-Chapman [2375] $413 2458%
Coresource [1315] $413 2458%
Coventry Healthcare [1320] $413 2458%
Emblem Health [2430] $413 2458%
Employee Benefit Management Services [2445] $413 2458%
Healthcost Solutions [2415] $413 2458%
Multiplan [1680] $413 2458%
Mutual Of Omaha [1685] $413 2458%
National Telephone Cooperative [1700] $413 2458%
Northamerica Administrators [1725] $413 2458%
Pan American Life Insurance Co [1770] $413 2458%
Phcs [1780] $413 2458%
Trustmark [2030] $413 2458%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals