Blood test, thyroid (TSH)
Facility: Holton Community Hospital
Billing Code: 84443 (CPT)
- CPT Billing Code: 84443
- Insurance Median: $59
- Cash Discount Price: $60
- vs. Medicare Baseline: 3.51x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 351% of the Medicare baseline (a markup of 251%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $34 - $94 | 202% |
| UnitedHealthcare | $34 - $94 | 202% |
| Kansas Superior Select - All Plans | $35 - $51 | 208% |
| Humana | $35 - $50 | 208% |
| Blue Cross Blue Shield | $44 | 262% |
| Preferred Health Professionals | $54 - $78 | 321% |
| Preferred Health Fn Select - All Other Plans | $54 - $78 | 321% |
| Preferred Health Freedom | $54 - $78 | 321% |
| Wppa Providers - All Plans | $62 - $89 | 369% |
| Medicaid / KanCare | $65 - $94 | 387% |
Consumer Guidance & Cost Commentary
For the blood test for thyroid (TSH) at Holton Community Hospital, the cash price of $60.00 is lower than the facility's negotiated rates with most major payers, which range from $34 to $94. While the facility's cash median of $60.00 is higher than the state average of $54.00, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance negotiated rate exceeds this amount. It is important to note that while the facility is a Critical Access Hospital in Kansas, the specific negotiated rates vary significantly by insurer, with some plans like Kansas Superior Select and Humana offering rates between $35 and $51, while others like Medicaid/KanCare and Preferred Health Professionals range from $54 to $94.
To ensure you receive the most accurate pricing, always ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these can reduce the final bill. Additionally, if you are billed for services from out-of-network providers at this in-network facility, the No Surprises Act protects you from balance billing for emergency care and non-emergency services. If you receive an unexpected bill, do not pay immediately; instead, request a formal itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through a written dispute sent to the billing supervisor.