CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $18
- Cash Discount Price: $131
- vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at AHMC Anaheim Regional Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.07x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$131
Average discount available for prompt cash payment at this facility.
Insurance Median
$18
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: $131 (780%)
Insurance Median: $18 (107%)
Cash: $131 (780% of Medicare)
Ins. Median: $18 (107% 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 |
|---|---|---|
| Netcare Life And Health Insurance | $6 - $60 | 36% |
| Advance Clinical Research Institute | $7 - $71 | 42% |
| Ahmc Reciprocity Agreement | $7 - $71 | 42% |
| Memorial Healthcare Ipa | $7 - $71 | 42% |
| Medical Acquisition Company | $10 - $95 | 60% |
| Medicare (plans) | $12 - $119 | 71% |
| Veterans Administration | $12 | 71% |
| Affiliated Doctors Of Orange County | $13 | 77% |
| Davita Heatlhcare Partners Plan Inc | $13 - $129 | 77% |
| Healthcare Partners Commercial | $13 - $129 | 77% |
| Huntington Memorial Hospital | $13 - $129 | 77% |
| Genesis Healthcare Ipa Ancillary | $14 - $143 | 83% |
| Monarch Health Plan | $14 - $162 | 83% |
| Allied Physicians | $15 - $25 | 89% |
| Altamed Health Network | $15 - $16 | 89% |
| Applecare Medical Group | $15 | 89% |
| Beverly Hospital | $15 - $18 | 89% |
| Brand New Day | $15 - $21 | 89% |
| Health Net | $15 | 89% |
| Healthcare Partners | $15 - $16 | 89% |
| Healthy Way La | $15 | 89% |
| Heritage Provider Network | $15 - $23 | 89% |
| Kaiser Foundation Hospitals | $15 - $16 | 89% |
| Medical Safety Net Program | $15 | 89% |
| Non Contracted Medi-Cal | $15 | 89% |
| Prospect Medical Group | $15 | 89% |
| Talbert Medical Group | $15 - $17 | 89% |
| Aetna | $16 - $91 | 95% |
| Aids Health Foundation | $16 - $17 | 95% |
| Alignment Health Plan | $16 | 95% |
| Alta Los Angeles Hospital | $16 | 95% |
| Apa Aco Inc | $16 | 95% |
| Avanti | $16 - $20 | 95% |
| Blue Cross Blue Shield | $16 - $62 | 95% |
| Blue Shield Of California | $16 - $226 | 95% |
| California Health Plan | $16 | 95% |
| Caloptima | $16 - $21 | 95% |
| Central Health Of California | $16 | 95% |
| Healthnet | $16 | 95% |
| Humana | $16 | 95% |
| Pacificare | $16 | 95% |
| Prospect Health Plan | $16 - $23 | 95% |
| Scan Health Plan | $16 | 95% |
| Seoul Medical Group | $16 - $17 | 95% |
| Wellcare | $16 | 95% |
| Affiliated Health Fund | $17 - $167 | 101% |
| Align Senior Care | $17 | 101% |
| Allnet Preferred Provider | $17 - $167 | 101% |
| Angels Baseball Workers Comp | $17 | 101% |
| Care First | $17 - $167 | 101% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $17 | 101% |
| Emanate Health | $17 - $21 | 101% |
| Health Net Inc | $17 - $183 | 101% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $17 | 101% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $17 | 101% |
| Hollywood Presbyterian Medpoint Mcal | $17 | 101% |
| Innovative Integrated Health (Iih)/Orange County Pace | $17 | 101% |
| Interplan | $17 - $167 | 101% |
| Medi-Cal | $17 | 101% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $17 | 101% |
| Nchp | $17 | 101% |
| Orange County Preferred Provider Organization | $17 - $178 | 101% |
| Private Healthcare Systems | $17 - $167 | 101% |
| Private Pay Flat Rate | $17 | 101% |
| Self-Pay | $17 | 101% |
| Capp Care | $18 - $178 | 107% |
| Choicecare | $18 - $178 | 107% |
| Corvel | $18 - $178 | 107% |
| Multiplan Inc | $18 - $178 | 107% |
| Tricare | $18 | 107% |
| Cigna | $19 - $20 | 113% |
| National Provider Network | $19 - $190 | 113% |
| Three Rivers Providers Network | $19 - $190 | 113% |
| Athens Administrators | $20 | 119% |
| First Health | $20 - $202 | 119% |
| Marriot Intl | $20 | 119% |
| Non Contracted Workers Comp | $20 | 119% |
| Ahmc Health Self-Insurance Epo | $21 | 125% |
| Health Payors Organization | $21 - $214 | 125% |
| Knox-Keene Act | $21 | 125% |
| Non Contracted Commercial | $24 - $238 | 143% |
| UnitedHealthcare | $34 - $67 | 202% |
| Monarch Healthcare Medical Group | $42 | 250% |
| Msi/Medical Services For Indigents | $52 | 310% |