CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Matagorda Regional Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $83
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.94x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Matagorda Regional Medical Center is $83. 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 4.94x the Medicare baseline. Located in 104 7Th Street, Bay City, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

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: $83 (494%)
Ins. Median: $83 (494% 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 494% of the Medicare baseline (a markup of 394%). 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.

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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 $17 - $93 101%
Humana $17 - $97 101%
Medicare (plans) $17 101%
Triwest $17 101%
United $17 101%
Wellcare $17 101%
UnitedHealthcare $18 - $103 107%
Am Better $20 119%
Alliance $24 143%
Corvel $34 202%
Blue Cross Blue Shield $51 - $149 304%
Comm Care $83 494%
Medicaid / KanCare $83 494%
Molina $83 494%
Scott & White $83 494%
Superior $83 494%
Tcstar $83 494%
Wellpoint $83 494%
Coventry First Health $104 619%
Galaxy Health $104 619%
Cigna $112 667%
Independent Medical System $127 756%
Multiplan Phcs $127 756%
Three Rivers $127 756%
Health Smart $134 798%
Usa Managed $134 798%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 104 7Th Street, Bay City, TX 77414
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals