CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Lodi Memorial

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $17
  • Cash Discount Price: $1
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Lodi Memorial is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.01x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$1

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $1 (6%)
Insurance Median: $17 (101%)
Cash: $1 (6% of Medicare)
Ins. Median: $17 (101% 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
Medcore(Omni Ipa) Op Only- All Plans $4 - $167 24%
Blue Shield Epn - All Other Plans $5 - $208 30%
Blue Shield Non-Epn $5 - $215 30%
Bc Mcal $6 36%
Kaiser Commercial - All Other Plans $6 - $263 36%
UnitedHealthcare $6 - $266 36%
Healthnet- All Other Plans $7 - $315 42%
Networks By Design- All Plans $7 - $320 42%
First Health- All Plans $12 - $526 71%
Multiplan- All Plans $12 - $513 71%
Beech Street- All Plans $13 - $577 77%
Cigna $13 - $577 77%
Three Rivers Provider Network- All Plans $13 - $577 77%
Western Growers- All Plans $13 - $577 77%
Hp Of San Joaquin Ppo - All Other Plans $14 - $609 83%
Celtic Ins Company - All Plans $15 - $22 89%
Healthnet Mcal $15 - $28 89%
Hp Of San Joaquin Mcal $15 - $24 89%
Kaiser Mcal $15 - $19 89%
Medi-Cal $15 - $19 89%
Alignment Health Plan (Ahp)-All Plans $17 101%
Blue Shield Mcare Adv $17 101%
Cca Health Plan Mcr Adv- All Plans $17 101%
Healthnet Mcare $17 101%
Hp Of San Joaquin Mcr Adv $17 101%
Humana $17 101%
Kaiser Mcr Adv $17 101%
Tricare $17 101%
Knnex Health - All Plans $20 119%
Ah Employee Health Plan - All Plans $30 179%
Bright Health - All Plans $34 202%
Aetna $56 333%
Blue Cross Blue Shield $166 - $185 988%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals