CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Clovis Community Medical Center
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $17
- Cash Discount Price: $85
- vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Clovis Community Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.01x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$85
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: $85 (506%)
Insurance Median: $17 (101%)
Cash: $85 (506% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Central Valley Medical Providers | $7 - $129 | 42% |
| Community Care | $7 - $61 | 42% |
| Employer 90/40 | $11 - $74 | 65% |
| Aetna | $14 - $92 | 83% |
| Blue Cross Blue Shield | $15 - $117 | 89% |
| Blue Shield | $15 - $105 | 89% |
| Cal Caloptima | $15 | 89% |
| Ccs Fresno | $15 | 89% |
| Ccs Kern | $15 | 89% |
| Ccs Kings | $15 | 89% |
| Ccs Madera/Sacramento | $15 | 89% |
| Ccs Mariposa | $15 | 89% |
| Ccs Merced | $15 | 89% |
| Ccs Stanislaus | $15 | 89% |
| Ccs Tulare | $15 | 89% |
| Chdp | $15 | 89% |
| Fresno County Funded Specialty Care | $15 | 89% |
| Generic Care Out Of County | $15 | 89% |
| Generic Ccs Other Counties | $15 | 89% |
| Genetically Handicapped Person | $15 | 89% |
| Gold Coast Medi-Cal | $15 | 89% |
| Medi-Cal Alameda Alliance For Health | $15 | 89% |
| Medi-Cal Blue Shield Promise Health | $15 | 89% |
| Medi-Cal California Health & Wellness Plan | $15 | 89% |
| Medi-Cal Cencal Health | $15 | 89% |
| Medi-Cal Community Health Group | $15 | 89% |
| Medi-Cal Contra Costa Health Plan | $15 | 89% |
| Medi-Cal Health Plan Of San Mateo | $15 | 89% |
| Medi-Cal Inland Empire Health | $15 | 89% |
| Medi-Cal Kern Family Health | $15 | 89% |
| Medi-Cal La Care Health | $15 | 89% |
| Medi-Cal Molina | $15 | 89% |
| Medi-Cal Partnership Health Plan Of Ca | $15 | 89% |
| San Francisco Health Plan Medi-Cal | $15 | 89% |
| Santa Clara Family Health Plan - Premier Health | $15 | 89% |
| Santa Clara Family Health Plan - Valley Health | $15 | 89% |
| UnitedHealthcare | $15 - $96 | 89% |
| Central Ca Indian Health | $16 - $132 | 95% |
| Cigna | $16 - $114 | 95% |
| Nx Health Network Ppo | $16 - $101 | 95% |
| Advantek Table Mountain Rancheria Tribal Member | $17 | 101% |
| Blue Shield 65 Plus Hmo Ehs | $17 | 101% |
| Blue Shield 65 Plus Hmo First Choice | $17 | 101% |
| Blue Shield Hmo-Cvmp/Medpro | $17 | 101% |
| Blue Shield Promise - Imperial | $17 | 101% |
| Blue Shield Saint Agnes | $17 | 101% |
| Blue Shield Sante | $17 | 101% |
| Brand New Day | $17 | 101% |
| Bscphp - Dhmso | $17 | 101% |
| Bscphp - First Choice | $17 | 101% |
| Bscphp Hmo - First Choice | $17 | 101% |
| Care1St Hmo - Ehs | $17 | 101% |
| Cares Act Provider Relief Fund | $17 | 101% |
| Gemcare Hmo | $17 | 101% |
| Generic | $17 | 101% |
| Generic Bscphp | $17 | 101% |
| Generic Victims Of Crime | $17 | 101% |
| Hartford Life Supplement | $17 | 101% |
| Healthnet | $17 - $108 | 101% |
| Healthnet Hmo - Cvmp/Medpro | $17 | 101% |
| Healthnet Hmo - Dhmso | $17 | 101% |
| Healthnet Hmo - La Salle | $17 | 101% |
| Healthnet Hmo - Sante | $17 | 101% |
| Healthnet Sante | $17 | 101% |
| Healthnet Sante - Sub Cap Dual Risk | $17 | 101% |
| Healthnet Sante Dual Risk | $17 | 101% |
| Humana | $17 - $156 | 101% |
| Kaiser | $17 | 101% |
| Medi-Cal Innovative Integrated Health | $17 | 101% |
| Medicare (plans) | $17 | 101% |
| Meritage Blue Shield 65 Plus | $17 | 101% |
| Meritage Brand New Day | $17 | 101% |
| Meritage Healthnet Hmo | $17 | 101% |
| Railroad Part A | $17 | 101% |
| Railroad Part A & B | $17 | 101% |
| Railroad Part B | $17 | 101% |
| Sante | $17 - $23 | 101% |
| Sante Sub Cap Healthnet Seniority | $17 | 101% |
| Sante Sub Cap-Blue Shield/Sante | $17 | 101% |
| Sante-Blue Shield/Sante | $17 | 101% |
| Sante-Healthnet Seniority | $17 | 101% |
| Sante-Sub Cap Ma Brand New Day | $17 | 101% |
| Scan Health Plan | $17 | 101% |
| Sequoia Pace - Peak Tpa | $17 | 101% |
| Todays Pyramid | $17 | 101% |
| Us Marshal | $17 | 101% |
| Victims Of Crime | $17 | 101% |
| Wellcare | $17 | 101% |
| Alignment Health Plan | $18 | 107% |
| Champion Health Plan Of California Ma | $18 | 107% |
| Innovative Integrated Health Community Plans Hmo | $18 | 107% |
| Healthsmart | $19 - $147 | 113% |
| Imperial Health Plan Hmo | $19 | 113% |
| Coventry Health Care (First Health Network) | $21 - $138 | 125% |
| Network By Design | $21 - $138 | 125% |
| Correctcare Integrated Health | $22 | 131% |
| Health Plan Of San Joaquin | $22 | 131% |
| Sequoia Pace | $22 | 131% |
| Adventist -Mcl Calviva Sub Cap | $24 | 143% |
| Generic Multiplan | $24 - $156 | 143% |
| Phcs | $24 - $156 | 143% |
| Well Path (Cfmg) | $31 - $264 | 185% |
| Coalinga State Hospital | $34 | 202% |
| Naphcare Inc-Mendota | $36 | 214% |