CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Sweeny Community Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $90
Cash Discount Price: $92
vs. Medicare Baseline: 5.36x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Sweeny Community Hospital is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.36x the Medicare baseline. Located in 305 North McKinney, Sweeny, TX.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $92 (548%)

Insurance Median: $90 (536%)

Cash: $92 (548% of Medicare)

Ins. Median: $90 (536% 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 536% of the Medicare baseline (a markup of 436%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$26 - $89	155%
Blue Cross Blue Shield	$46 - $77	274%
Evercare Mcaid	$77	458%
UnitedHealthcare	$83 - $123	494%
Amerigroup Mcr Adv - All Other Plans	$89	530%
Community Hlth Choice Him - All Other Plans	$89	530%
Coventry Mcr Adv	$89	530%
Molina Mcr Adv - All Other Plans	$89	530%
Superior Hp Mcr Adv-All Other Plans	$89	530%
Wellcare Mcare - All Plans	$89	530%
Care Improvement Mcr - All Plans	$90	536%
Choicecare Mcr Adv - All Plans	$90	536%
Cigna	$100	595%
Community Hlth Choice Star	$108	643%
Molina Mcaid	$108	643%
Superior Hp Mcaid	$108	643%
Tx Chlidrens Hp Mcaid - All Plans	$108	643%
Tx True Choice Mcaid - All Plans	$108	643%
Beech Street - All Plans	$115	685%
Community Care Network - All Plans	$123	732%
Galaxy Health Network - All Plans	$138	821%
Multiplan - All Plans	$138	821%
Evercare Mcr Adv - All Other Plans	$149	887%
Amerigroup Mcaid	$153	911%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $92.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sweeny Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.