CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Lane County Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $105
  • Cash Discount Price: $105
  • vs. Medicare Baseline: 6.25x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Lane County Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.25x the Medicare baseline. Located in 235 West Vine Po Box 969, Dighton, KS.
Cash / Self-Pay
$105

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $105 (625%)
Insurance Median: $105 (625%)
Cash: $105 (625% of Medicare)
Ins. Median: $105 (625% 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 625% of the Medicare baseline (a markup of 525%). 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
UnitedHealthcare $94 - $105 560%
Aetna $94 - $100 560%
Healthy Blue Mcr Adv - All Other Plans $105 625%
Healthy Blue Mcaid $105 625%
Medicaid / KanCare $105 - $116 625%
Wppa Providers-All Plans $158 940%

Consumer Guidance & Cost Commentary

For the thyroid blood test (CPT 84443) at Lane County Hospital in Dighton, Kansas, the cash price is $105.00, which matches the facility's negotiated rate and the median amount paid by UnitedHealthcare and Aetna plans. While the facility is a Critical Access Hospital owned by a government hospital district, the cash price is significantly higher than the Medicare benchmark of $16.80, reflecting a markup common in commercial billing. Patients should be aware that while insurance contracts often set a ceiling on what is allowed, the actual amount paid can vary; in this case, the negotiated rate aligns closely with the cash price, meaning there may be little financial advantage to paying out-of-pocket unless the patient has a high deductible and can secure a prompt-pay discount before services are rendered.

It is important to note that the facility's pricing does not appear to deviate significantly from the specific payer ranges provided, with most commercial plans falling between $94 and $116. Since the facility is in-network for the listed payers, balance billing for this specific service is unlikely under the No Surprises Act, though patients should still verify if any ancillary services or emergency physicians involved in the visit are out-of-network. To ensure you are receiving the best possible rate, we recommend contacting the hospital directly to confirm their self-pay or prompt-pay discount policies before scheduling, as these upfront discounts can sometimes reduce the final bill further than the standard negotiated amount. Always request a full itemized bill after the procedure to review every charge and ensure accuracy before payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 West Vine Po Box 969, Dighton, KS 67839
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals