CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health White Memorial Montebello

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $19
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health White Memorial Montebello is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.13x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $17 (101%)
Insurance Median: $19 (113%)
Cash: $17 (101% of Medicare)
Ins. Median: $19 (113% 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
Healthnet Salud $12 - $210 71%
Aetna $14 - $259 83%
Alignment Health Plan-All Plans $17 101%
Altamed Mcare-All Other Plans $17 101%
Blue Shield Mcare Adv $17 101%
Brand New Day Mcare-All Other Plans $17 101%
Brandman Health Plan-All Plans $17 101%
Caremore-All Plans $17 101%
Clever Care Hp-All Plans $17 101%
Easy Choice Mcare Adv-All Plans $17 101%
Healthnet Med Adv $17 101%
Kaiser Mcare Adv $17 101%
Scan Health-All Plans $17 101%
Oscar-All Plans $18 107%
Altamed Mcal $19 113%
Bc Mcal $19 113%
Blue Shield Promise Mcal $19 113%
Brand New Day Mcal $19 113%
Healthcare Partners-All Plans $19 - $346 113%
Healthnet Mcal $19 113%
Kaiser Mcal $19 113%
La Care Mcal $19 113%
Medi-Cal $19 113%
Molina Mcal - All Plans $19 113%
Blue Shield Epn Ifp $24 143%
Blue Cross Blue Shield $26 - $469 155%
Cigna $31 185%
Blue Shield Epn Core $271 1613%
Blue Shield Comm - All Other Plans $281 1673%
Healthnet Comm-All Other Plans $515 3065%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals