CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: City of Hope National Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $53
Cash Discount Price: $95
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at City of Hope National Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.15x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$95

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $95 (565%)

Insurance Median: $53 (315%)

Cash: $95 (565% of Medicare)

Ins. Median: $53 (315% 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 315% of the Medicare baseline (a markup of 215%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$5 - $168	30%
Heritage Provider Network	$5 - $70	30%
UnitedHealthcare	$5 - $56	30%
Blue Shield	$6 - $129	36%
Blue Shield Covca	$6 - $61	36%
Blue Shield Promise	$6 - $70	36%
Cencal	$7 - $80	42%
Inland Empire	$7 - $80	42%
La Care Health	$7 - $80	42%
Kaiser	$8 - $90	48%
Aetna	$9 - $100	54%
Gold Coast	$9 - $100	54%
Health Net	$9 - $97	54%
Molina	$9 - $130	54%
Prime Healthcare Keenan	$9 - $96	54%
Cigna	$10 - $107	60%
Healthcare Partners	$11 - $116	65%
St. Joseph Heritage	$11 - $120	65%
Primecare Medical Network	$12 - $130	71%
First Health	$14 - $154	83%
Cal Optima	$17 - $21	101%
Phcs Multiplan	$17 - $180	101%
Facey	$19 - $22	113%

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 $95.
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 City of Hope National Medical Center 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.