CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Bailey Medical Center, LLC

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $540
Cash Discount Price: $238
vs. Medicare Baseline: 32.14x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Bailey Medical Center, LLC is $540. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 32.14x the Medicare baseline. Located in 10502 North 110Th East Avenue, Owasso, OK.

Cash / Self-Pay

$238

Average discount available for prompt cash payment at this facility.

Insurance Median

$540

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: $238 (1417%)

Insurance Median: $540 (3214%)

Cash: $238 (1417% of Medicare)

Ins. Median: $540 (3214% 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 3214% of the Medicare baseline (a markup of 3114%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Healthcare Highways [2210]	$198 - $218	1179%
Hooray Health [8000]	$198	1179%
Oncology Patient Assistance Programs [2295]	$198	1179%
Oscar Insurance Company [7005]	$198	1179%
Osma Health Network [2345]	$198	1179%
Healthscope Benefits [2290]	$210	1250%
UnitedHealthcare	$210	1250%
Resource One Administrators [2815]	$218	1298%
Web Tpa [2115]	$218	1298%
The Kempton Group Administrators [2905]	$357	2125%
First Health [1375]	$402 - $651	2393%
Medica [2910]	$402	2393%
Multiplan [1680]	$402 - $651	2393%
Cigna	$404	2405%
Healthpartners [1500]	$404	2405%
National Association Of Letter Carriers [1695]	$404	2405%
Pba [1775]	$404	2405%
Healthcare Solutions [1485]	$453	2696%
Community Care [1290]	$627	3732%
Employee Benefit Management Services [2445]	$627	3732%
Fmh Benefit Services [1390]	$627	3732%
Group Resources [1455]	$627	3732%
Phcs [1780]	$627 - $651	3732%
Gilsbar [1425]	$651	3875%
Healthcost Solutions [2415]	$651	3875%
Healthfirst [2395]	$651	3875%
Healthnet [1495]	$651	3875%
Hometown Health [2155]	$651	3875%
Mayo Clinic Health Solutions [2280]	$651	3875%
Mutual Of Omaha [1685]	$651	3875%
New Era Life Insurance Company [1705]	$651	3875%
Pan American Life Insurance Co [1770]	$651	3875%
Planned Administrators Inc [2360]	$651	3875%
Trustmark [2030]	$651	3875%
Universal Fidelity [2085]	$651	3875%
Healthsmart [1505]	$675	4018%
Pending Ssi [1616]	$794	4726%

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 $238.
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 Bailey Medical Center, LLC 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.