CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Greenwood County Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $174
  • Cash Discount Price: $165
  • vs. Medicare Baseline: 10.36x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Greenwood County Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 10.36x the Medicare baseline. Located in 100 W 16Th Street, Eureka, KS.
Cash / Self-Pay
$165

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

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: $165 (982%)
Insurance Median: $174 (1036%)
Cash: $165 (982% of Medicare)
Ins. Median: $174 (1036% 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 1036% of the Medicare baseline (a markup of 936%). 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 $35 - $173 208%
Blue Cross Blue Shield $41 - $44 244%
Triwest - All Plans $74 440%
Tricare $87 518%
Choicecare Mcr Adv - All Plans $87 518%
Integrated Health Plan - All Plans $154 917%
First Health Ccn Network $175 1042%
First Health - All Other Plans $175 1042%
Beech Street - All Plans $175 1042%
Preferred Hs (Coventry) - All Plans $185 1101%
Principal Health Care Inc - All Plans $196 1167%
Amerigroup Mcaid-All Plans $206 1226%
Medicaid / KanCare $206 1226%
Providrs Care/Wppa - All Plans $309 1839%

Consumer Guidance & Cost Commentary

For this thyroid blood test (CPT 84443) at Greenwood County Hospital in Eureka, Kansas, the cash price is $165.00, which is lower than the facility's negotiated rates with most major payers. While the facility is a Critical Access Hospital owned by the local government, patients should note that insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. If you have a high-deductible plan, paying the cash price of $165.00 upfront may result in immediate savings compared to the insurance allowed amounts, which range from $35.00 to $309.00 depending on your specific plan. To maximize savings, you should explicitly ask the billing department about self-pay or prompt-pay discounts before scheduling, as these upfront fee reductions can further lower your out-of-pocket cost.

It is important to distinguish between the facility's gross charge of $206.00 and the actual costs you will face, as the latter depends heavily on your insurance status. Although the data does not provide a specific county or state average for this procedure, the facility's cash rate of $165.00 serves as a strong benchmark for comparison against the wide variance in insurance payments. If you receive a bill that exceeds the cash price or your expected insurance payment, you should request an itemized billing audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies. Additionally, if you are out-of-network, the No Surprises Act may protect you from balance billing for emergency care or non-emergency services at in-network facilities, so you should dispute any unexpected

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 W 16Th Street, Eureka, KS 67045
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals