CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Summerlin Hospital Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $202
  • Cash Discount Price: $581
  • vs. Medicare Baseline: 12.02x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Summerlin Hospital Medical Center is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $581. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 12.02x the Medicare baseline. Located in 657 Town Center Drive, Las Vegas, NV.
Cash / Self-Pay
$581

Average discount available for prompt cash payment at this facility.

Insurance Median
$202

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: $581 (3458%)
Insurance Median: $202 (1202%)
Cash: $581 (3458% of Medicare)
Ins. Median: $202 (1202% 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 1202% of the Medicare baseline (a markup of 1102%). 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
Blue Cross Blue Shield $8 - $11 48%
Smart_Choice $11 65%
Molina $12 71%
Silver_Summit $12 71%
Cigna $14 - $20 83%
Humana $17 101%
United_Healthcare $25 149%
Prominence $188 - $258 1119%
Sierra_Health_Options $255 - $306 1518%
Aetna $416 - $1,094 2476%
Sierra_Health_Plan_Of_Nevada $424 - $509 2524%
Multiplan $766 - $920 4560%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 657 Town Center Drive, Las Vegas, NV 89144
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals