CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Medical City Plano

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $25
  • Cash Discount Price: $862
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Medical City Plano is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $862. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.49x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$862

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $862 (5131%)
Insurance Median: $25 (149%)
Cash: $862 (5131% of Medicare)
Ins. Median: $25 (149% 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.

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
Amerigroup $14 - $17 83%
United $14 - $150 83%
Aetna $15 - $521 89%
Cigna $15 - $121 89%
Molina $16 - $18 95%
Parkland Community Health Plan $16 95%
Blue Cross Blue Shield $17 - $383 101%
Care N Care $17 101%
Devoted Health $17 101%
Humana $17 - $187 101%
Integranet $17 101%
Mutual Of Omaha $17 101%
Triwest Veterans $17 101%
Wellcare $17 101%
Wellmed $17 101%
American Health Plan Of Texas, Inc. $18 107%
Imperial Insurance Company $18 107%
Procare Advantge $18 107%
Provider Partners Health Plan $18 107%
Superior Health Plan $18 - $60 107%
Texas Independent Health Plan $18 107%
Triwest Health Alliance $18 107%
Universal Healthcare Group $20 119%
Verda Health Plan $22 131%
Bravo Health $25 149%
Superior $30 - $38 179%
Usa Managed Care $32 - $689 190%
Corvel Corporation $33 196%
Molina Healthcare $44 262%
Oscar $44 262%
Healthcare Highways $211 - $291 1256%
Evry Health $222 1321%
Lifecare Hospitals $258 1536%
Prominence Health Plan $345 2054%
City Of Mckinney $388 2310%
Fidelis Securecare $388 2310%
National Choicecare $431 2565%
Pc Texas Partners $474 2821%
Physicians Coop Of Tx $474 2821%
Rockport Health Group $474 2821%
Averde Health, Inc $500 2976%
Texas Healthcare Foundation Wc $560 3333%
Coastal Comp Health Networks $603 3589%
Mega Life $603 3589%
Multiplan Phcs $603 3589%
Healthsmart Preferred Care $646 3845%
Lewisville Isd/Dls Consulting $646 3845%
Usc Health Services $689 4101%
Galaxy Health Network $732 4357%
Independent Medical Systems $862 5131%
National Healthcare Solutions $862 5131%
Unicare $862 5131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals