CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Grossmont Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $26
Cash Discount Price: $90
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Grossmont Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.55x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$26

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: $90 (536%)

Insurance Median: $26 (155%)

Cash: $90 (536% of Medicare)

Ins. Median: $26 (155% 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.

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
County Medical Services	$2	12%
Aetna	$9 - $143	54%
Blue Cross Blue Shield	$10 - $155	60%
Medi-Cal	$10 - $203	60%
Molina	$11 - $155	65%
UnitedHealthcare	$11 - $166	65%
Health Net	$13 - $145	77%
Community Health Group	$16 - $137	95%
Blue Shield	$20 - $155	119%
California Health And Wellness	$20 - $141	119%
Indian Health Council	$20 - $145	119%
Multiplan	$20 - $114	119%
Allianz Global Assistance	$21 - $203	125%
Cigna	$22 - $145	131%
Kaiser	$22	131%
Interplan	$24 - $26	143%
Medicare (plans)	$24 - $99	143%
San Diego Pace	$140 - $155	833%

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 $90.
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 Grossmont Hospital 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.