CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $21
  • Cash Discount Price: $553
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at UCSF Health St. Mary's Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $553. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.25x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.
Cash / Self-Pay
$553

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $553 (3292%)
Insurance Median: $21 (125%)
Cash: $553 (3292% of Medicare)
Ins. Median: $21 (125% 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
Aetna $17 - $94 101%
Blue Cross Blue Shield $17 - $419 101%
Blue Shield Ca $17 - $339 101%
Brown Toland $17 101%
Chinese Community $17 - $272 101%
Connected Care $17 101%
Health Net $17 - $31 101%
Health Plan San Mateo $17 - $21 101%
Humana $17 101%
Kaiser $17 - $318 101%
Mhn $17 101%
United $17 - $20 101%
California Health & Wellness $21 125%
Partnership Health Plan $21 125%
Sfhp $21 125%
Kentfield $49 292%
Oscar $55 327%
Cigna $73 - $78 435%
Magellan $251 - $412 1494%
Healthsmart $293 - $481 1744%
Multiplan $348 - $570 2071%
Us Behavioral Health $419 2494%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals