CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Neosho Memorial Regional Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $49
  • Cash Discount Price: $115
  • vs. Medicare Baseline: 2.92x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Neosho Memorial Regional Medical Center is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.92x the Medicare baseline. Located in 629 South Plummer Ave, Chanute, KS.
Cash / Self-Pay
$115

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $115 (685%)
Insurance Median: $49 (292%)
Cash: $115 (685% of Medicare)
Ins. Median: $49 (292% 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 292% of the Medicare baseline (a markup of 192%). 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
Medicaid / KanCare $16 95%
Tricare $47 280%
Humana $49 292%
Va_Ccn $49 292%
Medadv_Uhc $49 292%
Medicare (plans) $49 292%
Blue Cross Blue Shield $49 292%
Aetna $49 292%
Medadv_Allwell $49 292%
Ambetter / Centene $51 304%
United $127 756%
Wppa_Providrscare $127 756%
Hpk $145 863%
Cigna $145 863%
Coventry $145 863%

Consumer Guidance & Cost Commentary

For this thyroid blood test (CPT 84443) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash price is $115.00, which is lower than the state average of $153.00. While many commercial payers have negotiated rates averaging $49.00, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. It is important to note that commercial negotiated rates frequently include administrative overhead and can be significantly higher than the actual cost of care, so comparing the cash price to the state average provides a clearer picture of fair value.

Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it does not automatically eliminate all potential costs if ancillary services are billed separately. To ensure you receive the most accurate pricing, always request an itemized bill before paying, as summary invoices can hide unbundled charges or services not rendered. Additionally, since this facility offers a prompt-pay discount for upfront payment, you may be eligible for further reduction if you pay in full within 30 days, effectively bypassing the administrative costs associated with insurance claims processing.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 629 South Plummer Ave, Chanute, KS 66720
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals