CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Ascension Seton Edgar B Davis

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $17
Cash Discount Price: $62
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Ascension Seton Edgar B Davis is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.01x the Medicare baseline. Located in 130 Hays Street, Luling, TX.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $62 (369%)

Insurance Median: $17 (101%)

Cash: $62 (369% of Medicare)

Ins. Median: $17 (101% 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.

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
Blue Cross Blue Shield	$8 - $79	48%
Dell Chip/Chip Perinate	$8 - $17	48%
Dell Star	$8 - $19	48%
UnitedHealthcare	$8 - $19	48%
Wellpoint Star	$8 - $17	48%
Wellpoint Star Plus	$8 - $17	48%
Ambetter / Centene	$14 - $19	83%
Wellpoint Chip/Chip Perinate	$14 - $17	83%
Wellpoint Star Kids	$14	83%
Champva	$20 - $23	119%
Humana	$28	167%
Cigna	$39	232%
Seton Performance Plus	$41	244%
Aetna	$44 - $125	262%
Superior Star	$69	411%
Superior Star Foster	$69	411%
Superior Star Kids	$69	411%
Superior Star Plus	$69	411%
Superior Chip/Chip Perinate	$78	464%
Covenant Health	$92	548%

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 $62.
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 Ascension Seton Edgar B Davis 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.