Blood test, thyroid (TSH)
Facility: Mitchell County Hospital Health Systems
Billing Code: 84443 (CPT)
- CPT Billing Code: 84443
- Insurance Median: $104
- Cash Discount Price: $98
- vs. Medicare Baseline: 6.19x 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 619% of the Medicare baseline (a markup of 519%). 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 |
|---|---|---|
| UnitedHealthcare | $17 - $109 | 101% |
| Blue Cross Blue Shield | $44 | 262% |
| Triwest Well Mark All Plans | $93 | 554% |
| Pref Hlth Care Sytms Comm - All Plans | $98 | 583% |
| Aetna | $98 | 583% |
| First Health-All Plans | $98 | 583% |
| Multiplan Ppo - All Plans | $104 | 619% |
| Phc Leased Ntwrk Access - All Plans | $104 | 619% |
| Auxiant-All Plans | $104 | 619% |
| Cigna | $108 | 643% |
| Health Partners Ks-All Plans | $108 | 643% |
Consumer Guidance & Cost Commentary
For this thyroid blood test (CPT 84443) at Mitchell County Hospital Health Systems in Beloit, KS, the facility's cash price is $98.00, which is lower than the state average of $101.00. While the facility's negotiated rates for commercial payers range from $17 to $109, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially beneficial to pay the cash rate of $98.00 directly, as this avoids the higher negotiated rates that insurance carriers charge, provided the patient has not yet met their deductible.
To ensure you receive the best possible rate, it is important to verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should request an itemized bill to confirm all charges are accurate and that no unbundled codes or services not rendered are included. For context, the facility's Medicare benchmark rate is $16.80, which serves as a baseline for evaluating the markup on commercial rates; however, the actual cost to you will depend on your specific insurance plan and whether you choose to pay cash or utilize the negotiated network rates.