CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Childrens Medical Center Plano

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $375
  • Cash Discount Price: $402
  • vs. Medicare Baseline: 22.32x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Childrens Medical Center Plano is $375. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $402. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 22.32x the Medicare baseline. Located in 7601 Preston Road, Plano, TX.
Cash / Self-Pay
$402

Average discount available for prompt cash payment at this facility.

Insurance Median
$375

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: $402 (2393%)
Insurance Median: $375 (2232%)
Cash: $402 (2393% of Medicare)
Ins. Median: $375 (2232% 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 2232% of the Medicare baseline (a markup of 2132%). 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
Molina Healthcare $14 83%
Aetna $15 - $375 89%
Humana $15 - $402 89%
Medicaid / KanCare $15 89%
Oklahoma Complete Health $15 89%
Superior Health Plan $18 107%
Wellpoint $27 161%
Firstcare Health $122 726%
Parkland Community $177 1054%
Texas Children'S Health Plan $177 1054%
Cookchildren'S Health Plan $182 1083%
Carelon $198 - $263 1179%
Blue Cross Blue Shield $214 - $364 1274%
UnitedHealthcare $284 - $402 1690%
Methodist $305 1815%
Cigna $354 - $370 2107%
Employers Health Network $375 2232%
Imagine Health $375 2232%
Scott & White $381 2268%
Txp Emerging Therapy Solutions $381 2268%
Healthsmart $391 - $456 2327%
Healthscope Benefit Solutions $402 2393%
Phcs $402 2393%
Quiktrip (Qt) $402 2393%
Txp Interlink $402 2393%
Coventry Health $429 2554%
Equifax Healthcare $456 2714%
Multiplan $456 2714%
Usa Managed Care $498 2964%
Galaxy Health $520 3095%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7601 Preston Road, Plano, TX 75024
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens