CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Methodist Hospital Stone Oak

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $27
  • Cash Discount Price: $710
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Methodist Hospital Stone Oak is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $710. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.61x the Medicare baseline. Located in 1139 E Sonterra Blvd,, San Antonio, TX.
Cash / Self-Pay
$710

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $710 (4226%)
Insurance Median: $27 (161%)
Cash: $710 (4226% of Medicare)
Ins. Median: $27 (161% 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.

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
Amerigroup $14 - $99 83%
Community First Health Plans $14 - $192 83%
United $14 - $320 83%
Usa Managed Care Chip $14 83%
Aetna $15 - $17 89%
Molina Healthcare $16 - $27 95%
Triwest Va Pccc $16 95%
Wellmed $16 95%
Blue Cross Blue Shield $17 - $210 101%
Devoted Health $17 101%
Gonzaba Medical Group $17 101%
Ilumed $17 101%
Integranet $17 101%
Lighthouse Hospice $17 101%
Triwest $17 101%
UnitedHealthcare $17 101%
Wellcare $17 101%
American Health Plan Of Texas $18 107%
Clover Insurance $18 107%
Humana $18 107%
Superior Health $18 - $36 107%
Texas Independent Health Plan $18 107%
Triwest Health Alliance $18 107%
Value Options $18 107%
Focus Healthcare Management $24 143%
Superior $27 161%
Cigna $28 - $37 167%
Focus Health Solutions $39 232%
Healthcare Highways $39 232%
Oscar $45 268%
Imperial Insurance $135 804%
Valenz $249 1482%
Evry Health $261 1554%
Fidelis Securecare $320 1905%
National Choicecare $355 2113%
Texas Healthcare Foundation Heb $355 2113%
Tx Healthcare Foundation $355 2113%
Healthsmart Preferred Care $391 2327%
Independent Medical Systems $391 2327%
Physician Cooperative Of Texas $391 2327%
Haa Preferred Partners $426 2536%
San Antonio Employers Health Alliance $426 2536%
Coastal Comp Health Networks $462 2750%
National Healthcare Solutions $462 2750%
Tml Intergovernmental Ebp $497 2958%
Multiplan $533 - $604 3173%
Usa Managed Care $533 3173%
Blue Bell $568 3381%
Directcare America $568 3381%
Managed Healthcare $604 3595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1139 E Sonterra Blvd,, San Antonio, TX 78258
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals