Blood test, thyroid (TSH)
Facility: Lindsborg Community Hospital
Billing Code: 84443 (CPT)
- CPT Billing Code: 84443
- Insurance Median: $55
- Cash Discount Price: $74
- vs. Medicare Baseline: 3.27x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 327% of the Medicare baseline (a markup of 227%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Coventry Mcr Adv | $27 - $73 | 161% |
| Tricare | $27 - $72 | 161% |
| Blue Cross Blue Shield | $44 | 262% |
| Cigna | $49 - $130 | 292% |
| UnitedHealthcare | $52 - $138 | 310% |
| Coventry Comm-All Other Plans | $52 - $138 | 310% |
| Multiplan-All Plans | $53 - $143 | 315% |
| Phcs Preferred-All Plans | $53 - $143 | 315% |
| Coventry Wc | $55 - $146 | 327% |
| Wppa-All Plans | $55 - $146 | 327% |
| Century Health-All Plans | $55 - $146 | 327% |
| Health Partners -All Plans | $55 - $146 | 327% |
Consumer Guidance & Cost Commentary
For the CPT code 84443, representing a blood test for thyroid function (TSH), Lindsborg Community Hospital in Kansas lists a cash median price of $74.00, which is notably lower than the facility's negotiated rates with major payers ranging from $52 to $146. This pricing structure highlights a common billing dynamic where cash payments can be more cost-effective than insurance claims, particularly for patients with high-deductible plans or those who have not yet met their out-of-pocket thresholds. While the facility's negotiated rates vary significantly across twelve different insurance plans, the cash price offers a predictable baseline that avoids the administrative overhead and potential balance billing associated with out-of-network services.
To ensure you receive the most accurate pricing, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed. Although the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the specific negotiated rates depend entirely on your individual insurance carrier and plan details. For instance, while some payers like Coventry Mcr Adv and Tricare have a low-end range starting at $27, others such as Cigna and UnitedHealthcare have ranges extending up to $138, illustrating the importance of verifying your specific coverage before scheduling. Always request an itemized bill to confirm that no unbundled charges or services not rendered have been included, ensuring the final invoice aligns with the agreed-upon negotiated or cash rates.