CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Carilion Stonewall Jackson Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $179
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 10.65x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Carilion Stonewall Jackson Hospital is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 10.65x the Medicare baseline. Located in 1 Health Circle, Lexington, VA.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $98 (583%)
Insurance Median: $179 (1065%)
Cash: $98 (583% of Medicare)
Ins. Median: $179 (1065% 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 1065% of the Medicare baseline (a markup of 965%). 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
UnitedHealthcare $18 - $228 107%
Sentara Health Plan $18 - $173 107%
Abh of Wva (Formerly Coventry) $18 107%
Blue Cross Blue Shield $18 107%
Humana $18 107%
Abh of VA (Formerly Coventry) $18 107%
Aetna $142 - $185 845%
Gateway - Tier 3 $153 911%
Vhn - Ultra $173 1030%
Connecticare $195 1161%
Vhn - Plus $223 1327%
Gateway - Tier 2 $223 1327%
Cigna $223 1327%
Vhn $237 1411%
Integrated Health Plan $237 1411%
Vhn - Link $251 1494%
Beech Street $257 1530%
Gateway - Tier 1 $265 1577%
Vhn - Secondary Payors $265 1577%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Health Circle, Lexington, VA 24450
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals