CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: The Children's Mercy Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $58
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 3.45x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at The Children's Mercy Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.45x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $63 (375%)
Insurance Median: $58 (345%)
Cash: $63 (375% of Medicare)
Ins. Median: $58 (345% 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 345% of the Medicare baseline (a markup of 245%). 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
UnitedHealthcare $17 - $171 101%
Healthy Blue $18 - $46 107%
Medicaid / KanCare $18 107%
Blue Cross Blue Shield $23 - $188 137%
Cigna $27 - $177 161%
Medica $33 - $148 196%
Aetna $34 - $173 202%
Centivo $36 - $165 214%
Health Midwest Comprehensive Care $36 - $165 214%
Nebraska Furniture Mart $36 - $165 214%
Orscheln $36 - $165 214%
Quiktrip $36 - $165 214%
Wellfit/Centrus $36 - $165 214%
Wppa Providrs Care $36 - $165 214%
Humana $37 - $169 220%
Coventry Health Care Of Kansas $41 - $188 244%
Coxhealth Network $41 - $188 244%
Home State Health $41 244%
Mercy Health $42 - $190 250%
Multiplan $43 - $193 256%
American Healthcare Alliance $48 - $216 286%
Healthlink $49 - $224 292%
National Preferred Provider Network $50 - $229 298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2401 Gillham Road, Kansas City, MO 64108
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens