CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: St David's South Austin Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $265
  • Cash Discount Price: $1,492
  • vs. Medicare Baseline: 15.77x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at St David's South Austin Medical Center is $265. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,492. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 15.77x the Medicare baseline. Located in 901 West Ben White Blvd, Austin, TX.
Cash / Self-Pay
$1,492

Average discount available for prompt cash payment at this facility.

Insurance Median
$265

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: $1,492 (8881%)
Insurance Median: $265 (1577%)
Cash: $1,492 (8881% of Medicare)
Ins. Median: $265 (1577% 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 1577% of the Medicare baseline (a markup of 1477%). 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.

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
St David’S Hospice $14 - $17 83%
United $14 - $702 83%
Blue Cross Blue Shield $15 - $498 89%
Molina Healthcare $16 - $18 95%
Wellmed $16 95%
Aetna $17 - $18 101%
Cigna $17 - $453 101%
Devoted Health $17 101%
Harbor Hospice $17 101%
Humana $17 - $18 101%
Odyssey Hospice $17 101%
Triwest Veterans $17 101%
American Health Plan Of Texas $18 107%
Imperial Insurance $18 107%
Provider Partners Health Plan $18 107%
Pyramid Life $18 107%
Sendero $18 - $29 107%
Shared Health $18 107%
Superior Health Plan $18 - $265 107%
Texas Independent Health Plan $18 107%
Triwest Health Alliance $18 107%
Wellcare $18 107%
Universal Health $20 119%
Austin Fc $21 125%
Amerigroup $23 137%
Naphcare $26 155%
Seven Corners $26 155%
Corvel Corporation $33 196%
UnitedHealthcare $42 - $1,561 250%
Oscar $46 - $51 274%
Moda $334 - $367 1988%
Covenant Management Systems $410 - $450 2440%
Healthcare Highways $414 - $468 2464%
Imo Med - Select Network $427 - $468 2542%
Nomi Health $455 - $578 2708%
Moda Health $512 - $578 3048%
Evry Health $523 - $574 3113%
Texas Healthcare Foundation Heb $526 - $578 3131%
Texas Workforce Commission $555 - $609 3304%
Harbor Health Team $569 - $624 3387%
Averde Health $640 - $702 3810%
Comanche County $711 - $780 4232%
Emerging Therapy Solutions $711 - $1,077 4232%
National Choicecare $711 - $780 4232%
Healthsmart Preferred Care $782 - $1,249 4655%
Independent Medical Systems $782 - $859 4655%
Physicians Cooperative Of Texas $782 - $859 4655%
Prime Health $853 - $937 5077%
First Health $896 - $1,122 5333%
Coastal Comp Health Networks $924 - $1,015 5500%
National Health Care $924 - $1,015 5500%
Occunet $995 - $1,093 5923%
Texas Municipal League $995 - $1,093 5923%
Medcorp Southwest $1,066 - $1,171 6345%
Preferred Health Arrangement $1,066 - $1,171 6345%
Rockport Healthcare Group $1,138 - $1,405 6774%
Bce Emergis Corporation $1,280 - $1,405 7619%
Beech Street $1,280 - $1,405 7619%
Medical Control Network Solutions $1,280 - $1,405 7619%
Multiplan $1,280 - $1,405 7619%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 West Ben White Blvd, Austin, TX 78704
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals