CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Mary Lanning Healthcare

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $29
Cash Discount Price: $89
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Mary Lanning Healthcare is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.73x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$29

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: $89 (530%)

Insurance Median: $29 (173%)

Cash: $89 (530% of Medicare)

Ins. Median: $29 (173% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$8 - $149	48%
Nhn/Mna-All Plans	$8 - $120	48%
Aetna	$11 - $131	65%
UnitedHealthcare	$15 - $25	89%
Tricare	$16	95%
Medica Mcr Adv	$17	101%
Ne Total Care Mcr Adv	$17	101%
Va Ccn - All Plans	$17	101%
Consociate Inc-All Plans	$26 - $125	155%
Ambetter / Centene	$28 - $76	167%
Medica-All Other Plans	$29 - $129	173%
Workers Compensation-All Plans	$37 - $146	220%
Multiplan-All Plans	$44 - $141	262%
Provider Network Of America-All Plans	$44 - $134	262%
Midlands Choice-All Plans	$134	798%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $89.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mary Lanning Healthcare is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.