CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Tristar Southern Hills Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $93
  • Cash Discount Price: $522
  • vs. Medicare Baseline: 5.54x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Tristar Southern Hills Medical Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $522. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.54x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.
Cash / Self-Pay
$522

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $522 (3107%)
Insurance Median: $93 (554%)
Cash: $522 (3107% of Medicare)
Ins. Median: $93 (554% 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 554% of the Medicare baseline (a markup of 454%). 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
Wellpoint $8 48%
Aetna $13 - $280 77%
Ambetter / Centene $17 - $18 101%
Amerigroup $17 101%
Blue Cross Blue Shield $17 - $95 101%
Bright Health $17 - $19 101%
Devoted Health Plan $17 101%
Healthspring $17 101%
Humana $17 - $140 101%
Odyssey Healthcare $17 101%
Sarah Cannon Research $17 101%
United $17 - $252 101%
Wellcare $17 101%
Zing $17 101%
American Health Advantage $18 107%
Atrio Golden Times $18 107%
Evergreen Hmo $18 107%
Signature Advantage $18 107%
Prime Health $24 - $492 143%
Corvel Corporation $25 149%
Novanet $25 149%
Cigna $30 - $182 179%
Oscar $50 298%
Kentucky Labor Cabinet $90 - $103 536%
Apex Health $93 - $106 554%
Nhc Advantage, Inc. $93 - $106 554%
Pruitt Health (Allyalign) $93 - $106 554%
Centurion $201 - $230 1196%
Bgfh Singlesource $244 - $475 1452%
Multiplan $283 - $324 1685%
Employers Health Network $342 - $391 2036%
Odom'S Tn Pride Sausage $366 - $419 2179%
Beech Street $429 - $492 2554%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 391 Wallace Rd, Nashville, TN 37211
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals