CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: San Antonio Regional Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $54
  • Cash Discount Price: $185
  • vs. Medicare Baseline: 3.21x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at San Antonio Regional Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.21x the Medicare baseline. Located in 999 San Bernardino Road, Upland, CA.
Cash / Self-Pay
$185

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $185 (1101%)
Insurance Median: $54 (321%)
Cash: $185 (1101% of Medicare)
Ins. Median: $54 (321% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 321% of the Medicare baseline (a markup of 221%). 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.

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 Medi-Cal $13 77%
Tricare $16 95%
Blue Cross Blue Shield $17 - $372 101%
Blue Shield Mcr Adv $17 101%
Caremore Mcr Adv - All Plans $17 101%
Choice Phycn Ntwrk Mcr Adv-All Other Plans $17 101%
Healthnet Mcr Adv $17 101%
Humana $17 101%
Iehp Mcr Adv $17 101%
Inter Valley Hp Mcr Adv- All Plans $17 101%
Kindred Mcr Adv-All Plans $17 101%
Molina Mcr Adv $17 101%
Scan Health Plan Mcr Adv-All Plans $17 101%
Universal Care - All Plans $17 101%
Imperial Health Mcr Adv-All Plans $18 107%
Kasiser Mcr Adv $18 107%
Zelis Mcr Adv $18 107%
Medi-Cal $19 113%
Kaiser Medi-Cal $20 119%
Alpha Care Mg Mcal/Hlthy Kids $21 125%
Choice Phycn Ntwrk Op Only $21 125%
Heritage Prov Ntwrk/Regal Mcal $21 125%
Molina Exchange-All Other Plans $22 131%
Molina Medi-Cal $22 131%
Aetna $23 - $851 137%
Iehp Comm - All Other Plans $24 143%
Iehp Mcal $25 149%
Redlands Employee $25 149%
Redlands Hmo-All Other Plans $26 155%
Prime Health - All Plans $29 173%
Healthnet - All Other Plans $40 238%
Blue Shield Epn $47 280%
Kaiser Comm - All Other Plans $47 280%
Cigna $61 363%
UnitedHealthcare $143 - $201 851%
Ambetter / Centene $155 923%
Epic Health Plan - All Other Plans $255 1518%
Blue Shield Hmo Pos / Calpers Ppo $315 1875%
Blue Shield Epo Ppo - All Other Plans $342 2036%
Pc Inland Valley Scan $426 2536%
Pc Inland Valley-All Other Plans $426 2536%
Coventry Ccn/First Hlth - All Plans $468 2786%
Choicecare Ntwrk-All Plans $613 3649%
Multiplan/Phcs - All Plans $613 3649%
Networks By Design - All Plans $638 3798%
Zelis Comm-All Other Plans $638 3798%
Foundation Inland Epo-All Other Plans $681 4054%
Foundation Inland Ppo $723 4304%
Health Payors - All Plans $766 4560%
Interplan - All Plans $766 4560%
Wellcare/Easy Choice-All Plans $834 4964%
Alpha Care Mg Mcr Adv $851 5065%
Central Hlth Plan Mcr Adv-All Plans $851 5065%
Epic Health Plan Mcr Adv $851 5065%
Prospect Hp-All Plans $851 5065%
Providence Clevercare Mcr Adv $851 5065%
Heritage Prov Ntwrk/Regal Mcr Adv $864 5143%
Clever Care Mcr Adv - All Plans $894 5321%
La Salle Hp Mcr Adv-All Plans $894 5321%
Providence Oscar-All Other Plans $894 5321%
Alpha Care Mg-All Other Plans $1,064 6333%
Heritage Prov Ntwrk/Regal - All Other Plans $1,564 9310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 999 San Bernardino Road, Upland, CA 91786
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals