CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $23
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at CHI St Lukes Health Memorial San Augustine is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.37x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $4 (24%)
Insurance Median: $23 (137%)
Cash: $4 (24% of Medicare)
Ins. Median: $23 (137% 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
United $2 - $489 12%
Aetna $3 - $122 18%
Humana $9 - $342 54%
Multiplan $9 - $342 54%
PHCS $9 - $391 54%
Galaxy $12 - $440 71%
Blue Cross Blue Shield $13 - $68 77%
Wellpoint $13 - $36 77%
Cigna $14 - $73 83%
Scanhealth $14 - $18 83%
Tchp $14 83%
Md Save $16 - $21 95%
Superior $23 - $36 137%
Angelina County $35 - $46 208%
Brookshire Brothers $39 - $50 232%
Entrust $44 262%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 511 Hospital St, San Augustine, TX 75972
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital