CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Lafayette Regional Health Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $75
  • Cash Discount Price: $279
  • vs. Medicare Baseline: 4.46x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Lafayette Regional Health Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $279. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.46x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$279

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $279 (1661%)
Insurance Median: $75 (446%)
Cash: $279 (1661% of Medicare)
Ins. Median: $75 (446% 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 446% of the Medicare baseline (a markup of 346%). 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
Aetna $16 - $408 95%
Amerigroup $16 95%
Healthyblue $16 95%
Home State Health Plan $16 95%
Medicaid / KanCare $16 95%
Unicare $16 95%
United $16 - $210 95%
Ambetter / Centene $17 - $87 101%
Nhc Advantage $17 - $89 101%
Universal Healthcare $24 - $121 143%
Humana $31 - $201 185%
Blue Cross Blue Shield $35 - $467 208%
Corvel Corporation $37 - $397 220%
Oha Network $37 - $233 220%
College Park Family Care Center $39 - $201 232%
Oscar $46 - $233 274%
Cigna $52 - $333 310%
Wppa Providrs Care Network $68 - $350 405%
Multiplan $71 - $364 423%
Coventry $73 - $372 435%
Coventry Kc Mo $73 - $372 435%
Cco, Inc. $77 - $397 458%
Focus Healthcare Mgmt, Inc $82 - $420 488%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 State Street, Lexington, MO 64067
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals