CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Round Rock Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $39
  • Cash Discount Price: $1,477
  • vs. Medicare Baseline: 2.32x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Round Rock Medical Center is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,477. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.32x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
$1,477

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $1,477 (8792%)
Insurance Median: $39 (232%)
Cash: $1,477 (8792% of Medicare)
Ins. Median: $39 (232% 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 232% of the Medicare baseline (a markup of 132%). 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 - $665 83%
Blue Cross Blue Shield $15 - $471 89%
Molina Healthcare $16 - $18 95%
Wellmed $16 95%
Aetna $17 - $18 101%
Cigna $17 - $47 101%
Devoted Health $17 101%
Humana $17 - $18 101%
Odyssey Hospice $17 101%
Triwest Healthcare Alliance $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 - $251 107%
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%
Corvel Corporation $33 196%
Oscar $46 - $51 274%
Moda $347 2065%
Covenant Management Systems $425 2530%
Healthcare Highways $430 - $443 2560%
Imo Med - Select Network $443 2637%
Nomi Health $473 - $546 2815%
Moda Health $532 - $546 3167%
Evry Health $544 3238%
Texas Healthcare Foundation Heb $546 3250%
Texas Workforce Commission $576 3429%
Harbor Health Team $591 3518%
Averde Health $665 3958%
Comanche County $738 4393%
National Choicecare $738 4393%
Healthsmart Preferred Care $812 - $1,182 4833%
Independent Medical Systems $812 4833%
Physicians Cooperative Of Texas $812 4833%
Prime Health $886 5274%
First Health $931 - $1,062 5542%
Coastal Comp Health Networks $960 5714%
National Health Care $960 5714%
Occunet $1,034 6155%
Texas Municipal League $1,034 6155%
Medcorp Southwest $1,108 6595%
Preferred Health Arrangement $1,108 6595%
Rockport Healthcare Group $1,182 - $1,329 7036%
Bce Emergis Corporation $1,329 7911%
Beech Street $1,329 7911%
Medical Control Network Solutions $1,329 7911%
Multiplan $1,329 7911%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals