Blood test, thyroid (TSH)
Facility: Morris County Hospital
Billing Code: 84443 (CPT)
- CPT Billing Code: 84443
- Insurance Median: $77
- Cash Discount Price: $118
- vs. Medicare Baseline: 4.58x 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 458% of the Medicare baseline (a markup of 358%). 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $17 | 101% |
| Aetna | $20 | 119% |
| Va Ccn-All Plans | $33 | 196% |
| Blue Cross Blue Shield | $42 - $77 | 250% |
| Coventry Mcr | $77 | 458% |
| UnitedHealthcare | $77 - $197 | 458% |
| Choice Care Mcr Adv-All Plans | $77 | 458% |
| Cigna | $143 | 851% |
| Coventry Comm-All Other Plans | $177 | 1054% |
| Multiplan-All Plans | $177 | 1054% |
Consumer Guidance & Cost Commentary
For the blood test, thyroid (TSH) procedure at Morris County Hospital in Council Grove, KS, the facility's cash median price is $118.00, which is lower than the state average of $16.80 for Medicare-approved amounts. While the facility is a Critical Access Hospital with government local ownership, patients should note that commercial insurance negotiated rates vary significantly; for example, UnitedHealthcare plans may pay up to $197.00, whereas other payers like Aetna and Providrs Care pay exactly $20.00. If you have a high-deductible plan, paying the cash price of $118.00 upfront might be more cost-effective than your insurance covering the service, especially since the median negotiated rate across all payers is $77.00, which is lower than the cash price but still subject to your specific plan's deductible and copay structures.
To maximize savings, you should explicitly ask the hospital about "prompt-pay" discounts, which can reduce bills by 20% to 50% if paid in full within 30 days, bypassing the administrative costs associated with insurance claims. Additionally, because the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, ensure you receive an itemized bill rather than a summary invoice to verify that all charges are accurate and that no unbundled codes or services not rendered are included. Given that over 80% of hospital bills contain errors, requesting a detailed line-by-line audit before finalizing payment is a critical step to avoid unexpected costs, and you should always confirm your specific plan's coverage details with the billing department prior