Blood test, thyroid (TSH)
Facility: Kansas Medical Center Llc
Billing Code: 84443 (CPT)
- CPT Billing Code: 84443
- Insurance Median: $17
- Cash Discount Price: $65
- vs. Medicare Baseline: 1.01x 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 |
|---|---|---|
| United | $7 | 42% |
| Indian Health | $15 | 89% |
| Medicaid / KanCare | $16 | 95% |
| Ambetter / Centene | $17 | 101% |
| Blue Cross Blue Shield | $17 - $35 | 101% |
| Medadv_Wellcare | $17 | 101% |
| Humana | $17 | 101% |
| Three_Rivers | $34 | 202% |
| Wppa | $42 - $45 | 250% |
| Aetna | $53 | 315% |
Consumer Guidance & Cost Commentary
For this thyroid blood test (CPT 84443) at Kansas Medical Center Llc in Andover, the facility's cash median price is $65.00, which is significantly higher than the state average of $16.80. While commercial insurance negotiated rates typically range from $17.00 to $53.00 depending on the payer, patients with high-deductible plans may find the cash price more affordable if their insurance allows a higher allowed amount than the cash rate. It is important to note that commercial negotiated rates often include administrative overhead and contract structures that can inflate the baseline price by 20% to 40% compared to direct cash payments.
To minimize costs, patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary widely across different carriers. If you are paying out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, since the facility is an in-network acute care hospital, the No Surprises Act generally protects you from balance billing for emergency services and non-emergency care from out-of-network providers at this location, though you should still request an itemized bill to ensure no unbundled codes or services not rendered are included.