CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Great Plains Health

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $133
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 7.92x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Great Plains Health is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 7.92x the Medicare baseline. Located in 601 West Leota St, North Platte, NE.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$133

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: $86 (512%)
Insurance Median: $133 (792%)
Cash: $86 (512% of Medicare)
Ins. Median: $133 (792% 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 792% of the Medicare baseline (a markup of 692%). 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
Midwest Network Alliance $120 - $125 714%
Blue Cross Blue Shield $127 756%
Ambetter / Centene $132 786%
Medica $132 786%
Midlands Choice $133 792%
Oscar Health $133 792%
Coventry $134 - $136 798%
Geha $134 798%
Mutual Of Omaha $136 810%
UnitedHealthcare $136 810%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 West Leota St, North Platte, NE 69101
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals