CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Reedley

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $19
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Reedley is $19. 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 1.13x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $19 (113%)
Cash: $38 (226% of Medicare)
Ins. Median: $19 (113% 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 Medi-Cal $3 - $41 18%
Healthnet- All Other Plans $4 - $119 24%
UnitedHealthcare $4 - $115 24%
Blue Shield Epn - All Other Plans $5 - $121 30%
Blue Shield Non Epn $5 - $140 30%
Kaiser - All Other Plans $5 - $137 30%
Western Growers/Pinnacle- All Plans $5 - $126 30%
Bc Mcal $6 36%
Cigna $7 - $178 42%
Physicians Med Group Op/Profee Only- All Plans $8 - $219 48%
Cal Viva Hlth Mcal - All Plans $10 - $19 60%
Community Care Ipa Mcal-All Plans $10 - $25 60%
Dignity Mcal Op/Profee Only-All Other Plans $10 - $21 60%
Kern Health Systems Mcal-All Plans $10 - $19 60%
Medi-Cal $10 - $19 60%
Blue Shield Mcare $17 101%
Dignity Mcr Adv Op/Profee Only $17 101%
Fhcn Pace Mcr Adv-All Plans $17 101%
Healthnet- Mcr Adv $17 101%
Kaiser Mcr Adv $17 101%
Phs Prime Health Srvcs $17 101%
Tricare $17 101%
Bright Health Mcr Adv - All Plans $26 155%
Aetna $28 - $98 167%
Ah Employee Health Plan - All Plans $30 179%
Blue Cross Blue Shield $75 - $215 446%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals