CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Harlan County Health System

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $98
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 5.83x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Harlan County Health System is $98. 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 5.83x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $98 (583%)
Cash: $86 (512% of Medicare)
Ins. Median: $98 (583% 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 583% of the Medicare baseline (a markup of 483%). 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
Medica Mcr Adv $58 345%
Medica Prime Solution $58 345%
Humana $72 429%
Tricare $72 429%
Aetna $76 452%
Great Plains Mcr Adv-All Plans $76 452%
Blue Cross Blue Shield $83 494%
Medica Chi Aco - All Other Plans $98 583%
Medica Chi Health $98 583%
Medica Choice $98 583%
Ohara Llc Wc- All Plans $103 613%
Medica Ifb Aco $104 619%
Medica Ifb Open Access $104 619%
UnitedHealthcare $104 619%
Phcs/Multiplan-All Plans $106 631%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals