CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: North Austin Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $92
  • Cash Discount Price: $356
  • vs. Medicare Baseline: 5.48x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at North Austin Medical Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $356. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.48x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$356

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $356 (2119%)
Insurance Median: $92 (548%)
Cash: $356 (2119% of Medicare)
Ins. Median: $92 (548% 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 548% of the Medicare baseline (a markup of 448%). 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
Superior Health Plan $11 - $285 65%
St David’S Hospice $14 - $17 83%
United $14 - $753 83%
Blue Cross Blue Shield $15 - $494 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%
UnitedHealthcare $17 - $753 101%
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%
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%
Oscar $46 - $51 274%
Moda $54 - $393 321%
Covenant Management Systems $66 - $482 393%
Healthcare Highways $66 - $502 393%
Imo Med - Select Network $68 - $502 405%
Nomi Health $73 - $619 435%
Moda Health $82 - $619 488%
Evry Health $84 - $616 500%
Texas Healthcare Foundation Heb $84 - $619 500%
Texas Workforce Commission $89 - $653 530%
Harbor Health Team $91 - $670 542%
Averde Health $103 - $753 613%
Comanche County $114 - $837 679%
National Choicecare $114 - $837 679%
Healthsmart Preferred Care $125 - $1,339 744%
Independent Medical Systems $125 - $921 744%
Physicians Cooperative Of Texas $125 - $921 744%
Prime Health $137 - $1,004 815%
First Health $142 - $1,189 845%
Coastal Comp Health Networks $148 - $1,088 881%
National Health Care $148 - $1,088 881%
Texas Municipal League $160 - $1,172 952%
Medcorp Southwest $171 - $1,256 1018%
Rockport Healthcare Group $182 - $1,507 1083%
Bce Emergis Corporation $205 - $1,507 1220%
Beech Street $205 - $1,507 1220%
Medical Control Network Solutions $205 - $1,507 1220%
Multiplan $205 - $1,507 1220%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals