CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Lower Bucks Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $18
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Lower Bucks Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.07x the Medicare baseline. Located in 501 Bath Road, Bristol, PA.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $16 (95%)
Insurance Median: $18 (107%)
Cash: $16 (95% of Medicare)
Ins. Median: $18 (107% 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.

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
Humana $13 77%
Medicaid / KanCare $13 77%
Blue Cross Blue Shield $17 - $82 101%
Cigna $17 101%
Health Partners Plan $17 - $25 101%
Keystone $17 - $25 101%
Medicare (plans) $17 - $18 101%
Pa Health & Wellness $17 - $20 101%
Provider Patners Health Plan $17 101%
Tricare $17 101%
UnitedHealthcare $17 - $26 101%
Auto Insurance $18 107%
Spartan Plan Pa $18 107%
Worker Compensation $19 113%
Employer Direct Healthcare $24 143%
Highmark $36 214%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Bath Road, Bristol, PA 19007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals