CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: PAM Specialty Hospital of Texarkana North

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $158
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 9.40x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at PAM Specialty Hospital of Texarkana North is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 9.40x the Medicare baseline. Located in 2400 St Michael Dr 2Nd Floor, Texarkana, TX.
Cash / Self-Pay
$211

Average discount available for prompt cash payment at this facility.

Insurance Median
$158

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: $211 (1256%)
Insurance Median: $158 (940%)
Cash: $211 (1256% of Medicare)
Ins. Median: $158 (940% 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 940% of the Medicare baseline (a markup of 840%). 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
Aetna $13 77%
America'S Choice $148 881%
Provider Network Of America $158 940%
Quik Trip $158 940%
Usa Managed Care Organization $158 940%
Velocity Provider Ppo Network $158 940%
Medadvent Healthcare Solutions $169 1006%
Multiplan/Phcs $169 1006%
Prime Health Services $179 1065%
Medincrease $190 1131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 St Michael Dr 2Nd Floor, Texarkana, TX 75503
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL