CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: San Gabriel Valley Medical Center
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $20
- Cash Discount Price: $130
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at San Gabriel Valley Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.19x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$130
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
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: $130 (774%)
Insurance Median: $20 (119%)
Cash: $130 (774% of Medicare)
Ins. Median: $20 (119% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Administration | $12 | 71% |
| Ahmc Medi-Cal Reciprocity | $15 | 89% |
| Allied Physicians | $15 - $25 | 89% |
| Altamed Health Network | $15 - $16 | 89% |
| Beverly Hospital | $15 - $18 | 89% |
| Brand New Day | $15 - $152 | 89% |
| Emanate Health | $15 - $21 | 89% |
| Healthnet Medi-Cal Non-Contract | $15 | 89% |
| Healthy Way La | $15 | 89% |
| Non Contracting Medi Cal | $15 | 89% |
| Aetna | $16 - $29 | 95% |
| Alignment Health Plan | $16 | 95% |
| Apa/Aco Inc | $16 | 95% |
| Avanti | $16 - $20 | 95% |
| Blue Cross Blue Shield | $16 - $81 | 95% |
| Blue Shield Of California | $16 - $236 | 95% |
| Central Health Plan | $16 - $260 | 95% |
| Health Net | $16 - $252 | 95% |
| Health Net Inc | $16 - $39 | 95% |
| Humana | $16 | 95% |
| La Care Health Plan | $16 - $17 | 95% |
| Medicare (plans) | $16 | 95% |
| Molina Healthcare Of California | $16 - $169 | 95% |
| Pacific Alliance Medical Center | $16 | 95% |
| Pacificare Of California | $16 - $142 | 95% |
| Providence Health Network | $16 | 95% |
| Tricare | $16 | 95% |
| Wellcare | $16 | 95% |
| Aids Healthcare Foundation | $17 - $173 | 101% |
| Cv-19 Hrsa Uninsured Testing And Tx | $17 | 101% |
| Hollywood Presbyterian Adv Med Mcal | $17 | 101% |
| Hollywood Presbyterian Medpoint Mcal | $17 | 101% |
| Inter Valley Health Plan | $17 | 101% |
| Medicaid / KanCare | $17 | 101% |
| Physicians Healthways | $17 | 101% |
| Self-Pay | $17 | 101% |
| St Vincent Medical Center/Psych | $17 | 101% |
| Cigna | $19 | 113% |
| Athens Administrators | $20 | 119% |
| Beech Street | $20 - $346 | 119% |
| Chinatown Service Center Pace | $20 | 119% |
| Other Non Contracting Workers Comp | $20 | 119% |
| Ahmc Health Self-Insurance Epo | $21 | 125% |
| Care 1St Health Plan | $21 - $281 | 125% |
| Knox-Keene Act | $21 | 125% |
| UnitedHealthcare | $34 - $67 | 202% |
| Private Pay | $49 | 292% |
| Ahmc Reciprocity | $130 | 774% |
| Alignment Healthplan | $152 | 905% |
| Clever Care | $152 | 905% |
| Pacific Independent Physician Associates | $173 | 1030% |
| Facey Medical | $216 | 1286% |
| Community Care Network | $281 | 1673% |
| Choicecare Network | $303 | 1804% |
| Private Healthcare Systems (Phcs) | $303 | 1804% |
| Affiliated Health Fund | $325 | 1935% |
| Multiplan | $390 | 2321% |
| Ppo Next | $390 | 2321% |
| Managed Health Network | $433 | 2577% |
| Medi-Cal Sub Acute | $433 | 2577% |
| One Legacy | $433 | 2577% |
| Other Non Contracted Commercial | $433 | 2577% |
| Us Behavioral Health Plan | $433 | 2577% |