CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Menorah Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $41
  • Cash Discount Price: $432
  • vs. Medicare Baseline: 2.44x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Menorah Medical Center is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $432. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.44x the Medicare baseline. Located in 5721 West 119Th Street, Overland Park, KS.
Cash / Self-Pay
$432

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $432 (2571%)
Insurance Median: $41 (244%)
Cash: $432 (2571% of Medicare)
Ins. Median: $41 (244% 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 244% of the Medicare baseline (a markup of 144%). 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
Cigna $9 - $562 54%
United $15 - $316 89%
Amerigroup $16 95%
Medicaid / KanCare $16 95%
Home State Health Plan $16 95%
Aetna $16 - $358 95%
Healthyblue $16 95%
Unicare $16 95%
Blue Cross Blue Shield $17 - $316 101%
Wellcare $17 101%
Devoted Health $17 101%
Celtic $17 101%
Coventry $17 - $282 101%
Humana $17 - $41 101%
Triwest Health Alliance $18 107%
Pyramid Life $18 107%
Oscar $26 155%
Ambetter / Centene $30 - $131 179%
Multiplan $30 - $520 179%
Nhc Advantage $31 - $133 185%
Wppa Providrs Care Network $32 - $140 190%
Corvel Corporation $36 - $456 214%
Oha Network $37 - $351 220%
Universal Healthcare $57 - $246 339%
Coventry Kc Mo $66 - $288 393%
College Park Family Care Center $70 - $302 417%
Focus Healthcare Mgmt, Inc $122 - $527 726%
Cco, Inc. $122 - $527 726%

Consumer Guidance & Cost Commentary

For the thyroid blood test (CPT 84443) at Menorah Medical Center in Overland Park, KS, the cash price is $432.00, which matches the facility's median negotiated rate. This cash price is significantly higher than the state average of $41.00 and the county average of $16.80, though it remains consistent with the Medicare benchmark of $16.80. While commercial insurance plans like Cigna and United have negotiated rates ranging from $9 to $562, these amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the $432.00 cash rate directly, as this avoids the administrative markups and potential balance billing associated with insurance claims.

To ensure you are receiving the best possible price, it is recommended to explicitly request a "self-pay" or "prompt-pay" discount before scheduling your visit, as hospitals often offer additional reductions for upfront payment. If you do choose to use insurance, be aware that the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, but you should still verify your specific plan's allowed amount to avoid unexpected costs. Finally, if you receive a bill, always demand a full itemized statement showing specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5721 West 119Th Street, Overland Park, KS 66209
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals