CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Ogallala Community Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $105
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 6.25x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Ogallala Community Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.25x the Medicare baseline. Located in 2601 North Spruce St, Ogallala, NE.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $68 (405%)
Insurance Median: $105 (625%)
Cash: $68 (405% of Medicare)
Ins. Median: $105 (625% 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 625% of the Medicare baseline (a markup of 525%). 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
Banner Health $49 292%
Blue Cross Blue Shield $49 - $107 292%
Medica $49 - $106 292%
Triwest Healthcare Alliance Corp - Va Ccn $49 292%
UnitedHealthcare $51 - $105 304%
Molina Healthcare $54 321%
Nebraska Total Care $54 321%
Keith County Sheriff’S Office $83 494%
Apostrophe, Inc. $100 595%
Coventry $107 637%
First Health $107 637%
Midlands Choice $107 637%
Multiplan $108 643%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2601 North Spruce St, Ogallala, NE 69153
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals