CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health St Helena

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $17
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health St Helena is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.01x the Medicare baseline. Located in 10 Woodland Road, Saint Helena, CA.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $38 (226%)
Insurance Median: $17 (101%)
Cash: $38 (226% of Medicare)
Ins. Median: $17 (101% 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
Healthnet-All Plans $2 - $83 12%
Blue Shield Behav Hlth $5 - $221 30%
Blue Shield Epn-All Other Plans $5 - $232 30%
Blue Shield Non-Epn $5 - $228 30%
UnitedHealthcare $5 - $314 30%
Western Growers-All Plans $5 - $261 30%
Phcs-All Plans $6 - $271 36%
Choicecare-All Plans $7 - $344 42%
Interplan-All Plans $7 - $320 42%
Beech Street-All Plans $8 - $369 48%
Cigna $8 - $394 48%
Kaiser-All Other Plans $8 - $403 48%
Galaxy Network-All Plans $9 - $443 54%
Health Management Network-All Plans $9 - $418 54%
Three Rivers-All Plans $9 - $443 54%
Va Medi-Cal $10 - $19 60%
Blue Shield Bh Mcr Adv $17 101%
Blue Shield Mcr Adv $17 101%
Kaiser Mcr Adv $17 101%
Tricare $17 101%
Va Mcr - All Other Plans $17 101%
Ah Employee Health Plan - All Plans $30 179%
Aetna $98 583%
Blue Cross Blue Shield $146 - $194 869%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10 Woodland Road, Saint Helena, CA 94574
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals