CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Cox Medical Centers

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $114
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 6.79x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Cox Medical Centers is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.79x the Medicare baseline. Located in 3801 South National Avenue, Springfield, MO.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $48 (286%)
Insurance Median: $114 (679%)
Cash: $48 (286% of Medicare)
Ins. Median: $114 (679% 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 679% of the Medicare baseline (a markup of 579%). 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
Allwell $17 101%
Blue Cross Blue Shield $17 - $165 101%
Cox Healthplans $17 101%
Health Net Federal Services $17 101%
Humana $17 101%
Medrisk Llc $17 101%
UnitedHealthcare $17 - $135 101%
Devoted $18 107%
Provider Partners Health Plan $18 107%
Parkcrest Dental Group $114 679%
Texas Co Memorial Hospital $118 702%
Loren Cook $119 708%
Bjc Health Solutions $127 - $191 756%
Justice Furniture And Bedding Co $128 762%
The Durham Company $128 762%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3801 South National Avenue, Springfield, MO 65807
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals