CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: PAM Specialty Hospital of San Antonio

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $177
  • Cash Discount Price: $229
  • vs. Medicare Baseline: 10.54x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at PAM Specialty Hospital of San Antonio is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 10.54x the Medicare baseline. Located in 5418 N Loop 1604 W, San Antonio, TX.
Cash / Self-Pay
$229

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $229 (1363%)
Insurance Median: $177 (1054%)
Cash: $229 (1363% of Medicare)
Ins. Median: $177 (1054% 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 1054% of the Medicare baseline (a markup of 954%). 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
America'S Choice $160 952%
Provider Network Of America $171 1018%
Quik Trip $171 1018%
Usa Managed Care Organization $171 1018%
Velocity Provider Ppo Network $171 1018%
Evolutions Healthcare System $183 1089%
Multiplan/Phcs $183 1089%
Fortified Provider Network $194 1155%
Prime Health Services $194 1155%
Medincrease $206 1226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5418 N Loop 1604 W, San Antonio, TX 78249
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL