CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Rio Grande Regional Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $23
  • Cash Discount Price: $1,803
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Rio Grande Regional Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,803. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.37x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$1,803

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $1,803 (10732%)
Insurance Median: $23 (137%)
Cash: $1,803 (10732% of Medicare)
Ins. Median: $23 (137% 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
Texas Health Network $14 83%
United $14 - $811 83%
Aetna $15 - $17 89%
Driscoll Children'S Health Plan $15 89%
Molina Healthcare $16 - $41 95%
Wellmed $16 95%
Allegian Health $17 - $721 101%
Blue Cross Blue Shield $17 - $811 101%
Cigna $17 - $61 101%
Humana $17 - $59 101%
Independent Medical System $17 101%
Triwest Healthcare Alliance $17 101%
American Health Plan $18 107%
Molina $18 107%
Physicians Health Choice $18 107%
Prominence Health $18 107%
Provider Partners Health Plan Of Texas $18 107%
Shared Health $18 107%
Superior Health Plan $18 - $126 107%
Triwest Health Alliance $18 107%
Universal Health Care $20 119%
Superior $26 155%
Corvel Corporation $33 196%
Focus Healthcare $34 202%
Omni Healthcare $35 208%
Oscar $39 232%
Healthcare Highways $50 298%
Texas Workforce Commission $433 2577%
Averde Health $595 3542%
Healthsmart Preferred Care $775 - $1,533 4613%
First Health $1,037 6173%
National Healthcare Solutions $1,082 6440%
Southwest Medical $1,082 6440%
Coastal Comp $1,172 6976%
Usa Managed Care $1,172 - $1,443 6976%
Ppo Next/ Medical Control $1,352 8048%
Beech Street $1,443 8589%
Multiplan $1,443 8589%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals