CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Wellspan Good Samaritan Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $33
Cash Discount Price: $40
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Wellspan Good Samaritan Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.96x the Medicare baseline. Located in 252 South 4Th Street, Lebanon, PA.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $40 (238%)

Insurance Median: $33 (196%)

Cash: $40 (238% of Medicare)

Ins. Median: $33 (196% 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.

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
Aetna	$17 - $79	101%
Medicare (plans)	$17 - $18	101%
Blue_Cross	$25 - $156	149%
Highmark	$26 - $61	155%
Medicaid / KanCare	$28 - $33	167%
Wellspan_Capital_Blue_Cross	$31	185%
United_Healthcare	$50	298%
Geisinger	$71	423%
Upmc	$71	423%
First_Health_Network	$76	452%
Phc	$95	565%
Cigna	$99	589%

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 $40.
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 Wellspan Good Samaritan 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.