CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Kansas Spine & Specialty Hospital, Llc

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $17
  • Cash Discount Price: $123
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Kansas Spine & Specialty Hospital, Llc is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.01x the Medicare baseline. Located in 3333 North Webb Road, Wichita, KS.
Cash / Self-Pay
$123

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $123 (732%)
Insurance Median: $17 (101%)
Cash: $123 (732% of Medicare)
Ins. Median: $17 (101% 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.

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
Humana $16 95%
Aetna $17 - $21 101%
UnitedHealthcare $17 - $20 101%
Providrs Care Network $17 101%
United Mine Workers Of America $17 101%
Blue Cross Blue Shield $17 101%
Lantern Specialty Care $27 161%

Consumer Guidance & Cost Commentary

For the blood test, thyroid (TSH) procedure at Kansas Spine & Specialty Hospital, Llc, the cash median price is $123.00, which is significantly higher than the state average of $16.80 and the Medicare benchmark of $16.80. While commercial insurance plans like Aetna, UnitedHealthcare, and Humana negotiate rates ranging from $16.00 to $21.00, these negotiated amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. It is important to note that the facility is owned by a physician and located in Wichita, KS, with a facility rating not currently available.

Patients should verify their specific plan details before scheduling, as some in-network rates may appear lower than the cash price but could still result in higher out-of-pocket costs if deductibles are not met. To potentially reduce the final bill, individuals should ask the hospital about self-pay or prompt-pay discounts, which can offer a fee reduction of 20% to 50% for upfront payment. Additionally, requesting a detailed, itemized billing audit is recommended to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies that can be corrected through formal written disputes.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 North Webb Road, Wichita, KS 67226
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals