CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Twin Cities

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $23
  • Cash Discount Price: $1
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Twin Cities is $23. 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 1.37x the Medicare baseline. Located in 1100 Las Tablas Rd, Templeton, CA.
Cash / Self-Pay
$1

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $23 (137%)
Cash: $1 (6% of Medicare)
Ins. Median: $23 (137% 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
Blue Shield Hmo/Pos $8 48%
Chn-Community Hlth Ntwrk-All Plans $10 60%
Nbd-Ntwrks By Design Non-Exlus $11 65%
Aetna $17 101%
Cencal Mcr Adv - All Other Plans $17 101%
Tricare $17 101%
UnitedHealthcare $17 - $65 101%
Medi-Cal $18 107%
Cencal Mcal $21 125%
Blue Shield Promise Mcal $22 131%
Cfmg-Ca Forensic Med Grp Op/Profee Only-All Plans $22 131%
Coalinga-All Plans $24 143%
Ah Employee Health Plan - All Plans $30 179%
Hpn-Heritage Prov Ntwrk-All Plans $66 393%
Blue Shield Epn $70 417%
Blue Shield Epo/Ppo - All Other Plans $94 560%
Nbd-Ntwrks By Design Exlus-All Other Plans $112 667%
Ccah-Centrl Ca Allince Mcal-All Plans $252 1500%
Pacific Health Alliance-All Plans $617 3673%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Las Tablas Rd, Templeton, CA 93465
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals