CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Baylor Scott & White Medical Center- Austin

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $42
Cash Discount Price: $100
vs. Medicare Baseline: 2.50x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Baylor Scott & White Medical Center- Austin is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 2.50x the Medicare baseline. Located in 5245 W Us 290, Austin, TX.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $100 (595%)

Insurance Median: $42 (250%)

Cash: $100 (595% of Medicare)

Ins. Median: $42 (250% 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 250% of the Medicare baseline (a markup of 150%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$11 - $19	65%
Baylor Scott & White Health Plan	$16 - $117	95%
Humana	$17 - $192	101%
Superior Health Plan	$17 - $79	101%
Triwest	$17	101%
American Health Plan	$18	107%
Healthspring	$18	107%
Procare Advantage	$18	107%
Cigna	$28 - $152	167%
Aetna	$33 - $151	196%
Midcoast	$33 - $151	196%
Quiktrip	$33 - $151	196%
University Of Mary Hardin-Baylor	$35 - $159	208%
Curative	$39 - $178	232%
First Health	$42 - $192	250%
Private Health Care System	$45 - $205	268%
Blue Cross Blue Shield	$81 - $99	482%

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 $100.
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 Baylor Scott & White Medical Center- Austin 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.