CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Alhambra Hospital Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $20
  • Cash Discount Price: $412
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Alhambra Hospital Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $412. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.19x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$412

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: $412 (2452%)
Insurance Median: $20 (119%)
Cash: $412 (2452% 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

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
Stewart Mg Senior Hmo $12 71%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $15 89%
Citrus Valley Health Partners $15 89%
Kaiser Medi-Cal $15 89%
La Care Pasc Seiu Misc $15 89%
Miscellaneous Medi-Cal Hmo $15 89%
Altamed Senior Services $16 95%
Apa Aco $16 95%
Blue Cross Blue Shield $16 - $31 95%
Blue Shield 65 Plus $16 95%
Brand New Day Sr $16 95%
Central Health Plan Of Ca Senior Hmo $16 95%
Health Net Senior Hmo $16 95%
Medicare (plans) $16 - $247 95%
Aetna $17 - $28 101%
Alignment Senior Hmo $17 101%
Allied Physicians Of Ca Medi-Cal $17 101%
Health Net Medi-Cal $17 101%
Humana $17 101%
La Care Exchange $17 101%
La Care Medi-Cal Hmo $17 101%
Medi-Cal $17 101%
Miscellaneous Senior Hmo $17 101%
UnitedHealthcare $17 - $34 101%
Wellcare Senior Hmo $17 101%
Cigna $19 - $185 113%
Tricare $19 113%
Health Net Salud Con Hmo $20 119%
Miscellaneous Work Comp Hmo $20 119%
Health Net Exchange $21 125%
Molina Exchange $21 125%
Ahmc Health $25 149%
Allied Physicians Of Ca Commercial $25 149%
Health Net Ppo/Epo/Pos $35 208%
Ahmc-Reciprocity-Comm/Senior $124 738%
Allied Physicians Comm/Sr $144 857%
Allied Physicians Medi-Cal $144 857%
Wellcare Allied Senior Hmo $144 857%
Molina Health Plan $161 958%
Self Pay $165 982%
Health Net Exchange Enhanced Ppo $175 1042%
Blue Shield Value Network Exchange $209 1244%
Blue Shield Hmo/Ppo $234 1393%
Kaiser Commercial $255 1518%
Scan Senior Plan $268 1595%
Multiplan $330 1964%
Miscellaneous Commercial Ppo/Hmo $412 2452%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals