CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Children's Nebraska

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $87
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.18x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Children's Nebraska is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.18x the Medicare baseline. Located in 8200 Dodge St, Omaha, NE.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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%)
Insurance Median: $87 (518%)
Ins. Median: $87 (518% 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 518% of the Medicare baseline (a markup of 418%). 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
Medicaid / KanCare $9 - $106 54%
Wellpoint $16 95%
Ambetter / Centene $17 101%
Molina (Iowa) $17 101%
Midlands Choice Chi $21 - $239 125%
Molina (Nebraska) $23 137%
UnitedHealthcare $23 - $287 137%
Midlands Choice Elevate $24 - $274 143%
Aetna $26 - $301 155%
Avera Health Plan $26 - $291 155%
Centivo $26 - $291 155%
Midlands Choice $26 - $301 155%
Sanford Health Plan $26 - $301 155%
Wellmark $26 - $291 155%
Blue Cross Blue Shield $79 - $88 470%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8200 Dodge St, Omaha, NE 68114
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens