Blood test, thyroid (TSH)
Facility: Pratt Regional Medical Center
Billing Code: 84443 (CPT)
- CPT Billing Code: 84443
- Insurance Median: $27
- Cash Discount Price: $21
- vs. Medicare Baseline: 1.61x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Christian Health Aid | $14 - $68 | 83% |
| UnitedHealthcare | $15 - $92 | 89% |
| Health Partners Of Kansas | $15 - $77 | 89% |
| Aetna | $16 - $81 | 95% |
| Choicecare | $18 - $90 | 107% |
Consumer Guidance & Cost Commentary
For this thyroid blood test (CPT 84443) at Pratt Regional Medical Center in Pratt, KS, the facility's cash price is $21.00, which is lower than the state average of $27.00. While commercial insurance plans like UnitedHealthcare and Aetna negotiate higher rates ranging from $15 to $92, patients with high-deductible plans may find the cash price more affordable if their insurance allowed amount exceeds $21.00. It is important to note that commercial negotiated rates often include administrative overhead and can be significantly higher than the cash price, so verifying your specific plan's allowed amount before scheduling is essential to avoid unexpected costs.
Although the facility's facility rating is 4 out of 5, patients should be aware of potential balance billing risks if services are rendered by out-of-network providers, even at an in-network hospital. Under the No Surprises Act, balance billing for emergency care and non-emergency services at in-network facilities is generally prohibited, but patients should still review their itemized bills carefully to ensure no unbundled codes or services not rendered are included. If you choose to pay out-of-pocket, ask the billing department about prompt-pay discounts, which can reduce the $21.00 cash price further by offering immediate liquidity incentives that bypass costly insurance claims processing.