CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Vandalia Health Broaddus Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $24
Cash Discount Price: $19
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Vandalia Health Broaddus Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.43x the Medicare baseline. Located in 1 Healthcare Drive Mansfield Hill, Philippi, WV.

Cash / Self-Pay

$19

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

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: $19 (113%)

Insurance Median: $24 (143%)

Cash: $19 (113% of Medicare)

Ins. Median: $24 (143% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Peak Health	$2 - $41	12%
Aetna	$7 - $116	42%
Blue Cross Blue Shield	$7 - $92	42%
Highmark	$7 - $95	42%
The Health Plan	$7 - $117	42%
UnitedHealthcare	$7 - $126	42%
Humana	$8 - $100	48%
West Virginia Senior Advantage	$8 - $101	48%
Cigna	$9 - $114	54%
First Health	$9 - $116	54%
Geisenger Health Plan	$9 - $121	54%
Health Network America	$9 - $124	54%
Multiplan/Phcs	$9 - $122	54%
Geha	$10 - $124	60%
Selectnet	$10 - $127	60%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $19.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Vandalia Health Broaddus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.