CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Good Samaritan Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $18
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Good Samaritan Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.07x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $28 (167%)
Insurance Median: $18 (107%)
Cash: $28 (167% of Medicare)
Ins. Median: $18 (107% 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
Medcare Partners $2 - $285 12%
Health Net $3 - $443 18%
Santa Clara Family Health Plan $3 - $361 18%
United $4 - $485 24%
Nx Health Network $8 - $1,140 48%
Sutter Select $8 - $1,140 48%
Multiplan $9 - $1,521 54%
First Health $10 - $1,901 60%
Humana $10 - $1,331 60%
Cigna $11 - $1,521 65%
Healthsmart $11 - $1,521 65%
Intercontinental Corporation $11 - $1,521 65%
Pha Pacific Health Alliance $11 - $1,521 65%
Ppo Next $11 - $1,521 65%
Aetna $17 - $86 101%
Affinity Medical Group $17 101%
Alignment Health Plan $17 101%
Blue Cross Blue Shield $17 - $88 101%
Blue Shield $17 - $31 101%
Care1St Health Plan $17 101%
Central Health Plan $17 101%
Clever Care Of Golden State $17 101%
Easy Choice Health Plan $17 101%
Managed Health Network $17 101%
On Lok Senior Health $17 101%
Palo Alto Medical $17 - $22 101%
Scan Health Plan $17 101%
Triwest Healthcare Alliance $17 101%
University Healthcare $17 101%
Vitality Health Plan $17 101%
Physicians Medical Group $19 113%
Corvel Corporation $20 119%
Affinity Medical Group Comm $22 131%
Canopy $30 179%
Bright Health $34 202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals