CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Ukiah Valley

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $84
Cash Discount Price: $22
vs. Medicare Baseline: 5.00x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Ukiah Valley is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.00x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $22 (131%)

Insurance Median: $84 (500%)

Cash: $22 (131% of Medicare)

Ins. Median: $84 (500% 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 500% of the Medicare baseline (a markup of 400%). 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 Shield Epn-All Other Plans	$6 - $147	36%
Blue Shield Non-Epn	$6 - $149	36%
Healthnet-All Plans	$8 - $220	48%
Western Growers-All Plans	$8 - $200	48%
Mendocino Lcc District-All Plans	$10 - $250	60%
Foundation For Medical Care-All Plans	$11 - $289	65%
Cigna	$12 - $300	71%
Interplan-All Plans	$12 - $316	71%
Kaiser-All Other Plans	$12 - $308	71%
Networks By Design-All Plans	$12 - $308	71%
Phcs Multiplan-All Plans	$12 - $308	71%
UnitedHealthcare	$12 - $322	71%
Beech Street-All Plans	$13 - $327	77%
Choice Care-All Plans	$13 - $327	77%
Health Mgmt Network-All Plans	$13 - $327	77%
Three Rivers-All Plans	$13 - $346	77%
Kaiser Medi-Cal	$15 - $19	89%
Medi-Cal	$15 - $19	89%
Blue Shield Mcr Adv	$17	101%
Kaiser Mcr Adv	$17	101%
Tricare	$17	101%
Ah Employee Health Plan - All Plans	$30	179%
Aetna	$148	881%
Blue Cross Blue Shield	$170 - $227	1012%

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 $22.
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 Adventist Health Ukiah Valley 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.