CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Preston Memorial Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $87
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 5.18x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Preston Memorial Hospital is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.18x the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.
Cash / Self-Pay
$61

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $61 (363%)
Insurance Median: $87 (518%)
Cash: $61 (363% of Medicare)
Ins. Median: $87 (518% 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 518% of the Medicare baseline (a markup of 418%). 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
Advantra $9 - $87 54%
Aetna $9 - $131 54%
Humana $9 - $87 54%
Medicare (plans) $9 - $118 54%
Uhc_Va $9 - $87 54%
Upmc $9 - $92 54%
Medicaid / KanCare $10 - $99 60%
Blue_Cross_Highmark_Aca $11 - $106 65%
Blue_Cross_Highmark_Pos $12 - $117 71%
Blue_Cross_Highmark_Ppo $12 - $117 71%
Blue_Cross_Highmark_Traditional $13 - $129 77%
Cigna $14 - $134 83%
Geha $14 - $138 83%
UnitedHealthcare $14 - $131 83%
4_Most $15 - $141 89%
Health $15 - $141 89%
Unicare $103 613%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 150 Memorial Drive, Kingwood, WV 26537
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals