CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Prisma Health Tuomey Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $23
  • Cash Discount Price: $140
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Prisma Health Tuomey Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.37x the Medicare baseline. Located in 129 N Washington St, Sumter, SC.
Cash / Self-Pay
$140

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $140 (833%)
Insurance Median: $23 (137%)
Cash: $140 (833% of Medicare)
Ins. Median: $23 (137% 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
Golden Rule Insurance Company [2991] $15 89%
Oxford Health Plans [2992] $15 89%
Tricare $15 89%
UnitedHealthcare $15 - $20 89%
Zzumr-Salt Lake City Ut [3169] $15 89%
Blue Cross Blue Shield $17 - $60 101%
Cigna $17 - $96 101%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $17 101%
Humana $17 - $162 101%
Medicare (plans) $17 - $18 101%
Triwest Healthcare Alliance Vcp [902] $17 101%
Va Community Care Network-Vaccn [903] $17 101%
Aetna $18 - $171 107%
Healthy Conn Prime-First Choice Vip Care [5300] $18 107%
Healthy Conn Prime-Molina Healthcare [5330] $18 107%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $18 107%
Medicaid / KanCare $20 - $23 119%
Bluechoice [810] $24 - $32 143%
Planned Administrators [820] $24 143%
Workers Comp [600] $24 143%
Ambetter / Centene $31 185%
Prisma Health Seniorcare Pace - Midlands [5400] $50 298%
Prisma Health Seniorcare Pace-Upstate [5200] $50 298%
Scdc-Sc Dept Of Corrections [7232] $60 357%
Promise Health Plan Contracted [2401] $76 - $130 452%
Orangeburg Senior Helping Center Pace [5401] $86 512%
Bob Jones Univ-Pai [821] $130 774%
Meritain Health Contracted [2200] $138 - $171 821%
Preferred Administrators Contracted [2839] $151 899%
Medcost [2940] $160 - $179 952%
Atlantic Packaging Contracted [4833] $162 964%
Aps Healthcare System [2981] $173 1030%
Multiplan/Phcs Contracted [2950] $192 1143%
Vsp Vision Care [2986] $194 1155%
First Health Contracted [2952] $201 1196%
Furman Int/Allen University Student [2951] $201 1196%
Quiktrip-First Health [3067] $201 1196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 129 N Washington St, Sumter, SC 29150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals