CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Sonora

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $29
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Sonora is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.73x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $29 (173%)
Insurance Median: $29 (173%)
Cash: $29 (173% of Medicare)
Ins. Median: $29 (173% 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
Kaiser - All Plans $7 - $374 42%
UnitedHealthcare $8 - $644 48%
Western Growers/Pinnacle - All Plans $8 - $397 48%
Blue Shield - All Other Plans $11 - $569 65%
Blue Shield Epn $11 - $568 65%
Trpn - Three Rivers Ppo - All Plans $12 - $599 71%
Affordable Health - All Plans $13 - $674 77%
Beech Street- All Plans $13 - $637 77%
Greatwest Oa/Pos/Hmo $13 - $637 77%
Greatwest Ppo - All Other Plans $13 - $674 77%
Healthnet - All Other Plans $13 - $656 77%
Interplan - All Plans $13 - $674 77%
Multiplan - All Plans $13 - $674 77%
Phcs Ppo - All Plans $13 - $674 77%
Cigna $14 - $712 83%
Stanilaus Foundation - All Plans $14 - $712 83%
Celtic Ca Hlth Well Mcal - All Plans $15 - $27 89%
Central Ca Alliance Ccs Mcal $15 - $22 89%
Central Ca Alliance Chdp Mcal $15 - $22 89%
Central Ca Alliance Mcal $15 - $22 89%
Healthnet Mcal $15 - $29 89%
Medi-Cal $15 - $19 89%
Aetna $17 - $171 101%
Blue Shield Mcare $17 101%
Healthnet Mcr Adv $17 101%
Phs Prime Health Srvcs-All Plans $17 101%
Tricare $17 101%
Ah Employee Health Plan - All Plans $30 179%
Bc Exchange $153 911%
Bc Non-Mcs - All Other Plans $170 1012%
Bc Mcs $204 1214%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals