CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $18
Cash Discount Price: $1,142
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Southern Hills Hospital and Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,142. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.07x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$1,142

Average discount available for prompt cash payment at this facility.

Insurance Median

$18

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: $1,142 (6798%)

Insurance Median: $18 (107%)

Cash: $1,142 (6798% of Medicare)

Ins. Median: $18 (107% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$3 - $28	18%
Community Care Health	$11	65%
Molina Healthcare	$11 - $12	65%
Sierra Hpn	$11	65%
Ambetter / Centene	$12 - $18	71%
Caresource	$12	71%
Humana	$16 - $17	95%
Alignment Health Plan	$17	101%
Blue Cross Blue Shield	$17 - $21	101%
Caremore	$17	101%
Health Net	$17	101%
Hometown Health Mcr	$17	101%
Select Health	$17 - $263	101%
Sierra	$17	101%
Triwest	$17	101%
United	$17 - $249	101%
Health Services Coalition	$18	107%
Imperial Nv	$18	107%
Universal Healthcare	$20	119%
Cigna	$44	262%
Corvel	$57	339%
Olympus Medsave Usa	$60 - $856	357%
Prominence Healthfirst	$343	2042%
Cmn Global	$480	2857%
Evernorth	$571	3399%
Hometown Health Providers	$571	3399%
Nv Health & Welfare Trust	$685	4077%
Multiplan	$719 - $834	4280%
First Health	$754 - $914	4488%
Medcare International	$856	5095%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,142.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southern Hills Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.