CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Lancaster General Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $39
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 2.32x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Lancaster General Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.32x the Medicare baseline. Located in 555 North Duke Street, Lancaster, PA.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $121 (720%)
Insurance Median: $39 (232%)
Cash: $121 (720% of Medicare)
Ins. Median: $39 (232% 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 232% of the Medicare baseline (a markup of 132%). 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
Tricare $14 83%
Aetna $17 - $73 101%
Albright Life $17 101%
Amerihealth Caritas $17 - $23 101%
Blue Cross Blue Shield $17 - $103 101%
Cigna $17 - $101 101%
Coatesville Va $17 101%
Health Partners Mcr Advantage $17 101%
Highmark $17 - $121 101%
Hospice Generic $17 101%
Lebanon Veterans Hospital $17 101%
Medicare (plans) $17 - $18 101%
UnitedHealthcare $17 - $103 101%
Devoted Health $18 107%
Pa Health And Wellness Mcr $18 107%
Hospice And Community Care $23 137%
Lancaster County Mh $23 137%
Medicaid / KanCare $23 - $38 137%
Elap Employees $24 143%
Gateway $27 161%
Old Order Group $33 - $39 196%
Oscar Health Plan $33 196%
Lg Coresource/Lg Eliance $34 202%
Lancashire Hall $36 - $121 214%
Nursing Home Op Services $36 214%
Highmark Commercial Preferred $38 - $121 226%
Upmc For You $39 232%
Affilia Home Health $48 - $121 286%
Claim Watcher Plus $50 298%
Masonic Homes $51 - $121 304%
Eliance Health Solutions $54 - $77 321%
Claim Watcher $55 327%
Highmark Commercial Non-Preferred $57 - $121 339%
Elap Other Groups $61 363%
Preferred Healthcare $73 - $103 435%
Ehp $99 589%
Upmc Commercial $99 - $103 589%
Devon $103 613%
Geisinger Commercial $103 613%
Intergroup Services $103 613%
Medi-Share Christian Care $115 685%
Commercial Generic $121 720%
Magellan $121 720%
United Behavioral Health $121 720%
Value Options $121 720%
Workers Compensation $121 720%
Gift Of Life Donor Program $13,500 80357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals