Blood test, thyroid (TSH)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 84443 (CPT)
- CPT Billing Code: 84443
- Insurance Median: $158
- Cash Discount Price: $211
- vs. Medicare Baseline: 9.40x 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 940% of the Medicare baseline (a markup of 840%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $127 | 756% |
| Americas Choice Provider Network | $148 | 881% |
| Provider Network Of America | $158 | 940% |
| Quiktrip Corporation | $158 | 940% |
| Velocity | $158 | 940% |
| Usa Managed Care Organization | $158 | 940% |
| Multiplan-Phcs | $169 | 1006% |
| Prime Health Services | $180 | 1071% |
| Medincrease | $190 | 1131% |
Consumer Guidance & Cost Commentary
For the CPT code 84443, representing a blood test for thyroid function (TSH), the Rehabilitation Hospital Of Overland Park lists a cash price of $211.00. This cash rate is notably higher than the Medicare benchmark of $16.80, which serves as the federal baseline for the true cost of this service. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and Americas Choice Provider Network are set at $127 and $148 respectively, these amounts are still significantly above the Medicare rate. In many cases, patients with high-deductible plans may find paying the cash price of $211.00 directly to the hospital is more cost-effective than relying on insurance, especially if the insurer's allowed amount exceeds the cash rate or if the patient has not yet met their deductible.
It is important to note that the data shows a median negotiated rate of $158.00 across nine different payers, with the lowest negotiated amount being $127.00. However, patients should be aware that commercial insurance rates often include administrative overhead and do not always reflect the lowest possible price. Before scheduling, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront. Additionally, if you receive a bill from an out-of-network provider or a service not covered by your plan, you may be subject to balance billing, where the provider charges the difference between their full rate and what your insurance pays. In such cases, you have the right to dispute the bill