CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Menifee Global Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $74
  • Cash Discount Price: $127
  • vs. Medicare Baseline: 4.40x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Menifee Global Medical Center is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.40x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$127

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $127 (756%)
Insurance Median: $74 (440%)
Cash: $127 (756% of Medicare)
Ins. Median: $74 (440% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 440% of the Medicare baseline (a markup of 340%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Ic $15 - $338 89%
Kaiser Medi-Cal $15 89%
Tricare $15 - $16 89%
Blue Cross Blue Shield $16 95%
Aetna $17 - $214 101%
Altamed Comm Hmo (Ancillary) $17 - $338 101%
Altamed Health Services Senior $17 101%
Altamed Sr/Pace $17 101%
Blue Shield Senior $17 101%
Central Health Plan Senior $17 101%
Clever Care Health Plan Sr $17 101%
For Your Benefit Senior $17 101%
Guidant Health Plan Senior $17 101%
Health Net Medi-Cal $17 101%
Health Net Senior $17 101%
Hpn Mcal $17 101%
Hpn Senior $17 101%
Humana $17 101%
Imperial Health Plan Of Ca $17 101%
Kaiser Senior $17 101%
Lasalle Medical Assoc (Ancillary) Commercial $17 101%
Lasalle Medical Assoc (Ancillary) Mcal Hmo $17 101%
Lasalle Medical Assoc (Ancillary) Senior $17 101%
Managed Health Network Sr $17 101%
Medicare (plans) $17 101%
Molina Medi-Cal $17 101%
Neighborhood Healthcare Pace $17 101%
Point Comfort Underwriters $17 101%
Primecare Senior $17 101%
Prospect Health Plan Mcal Hmo $17 101%
Prospect Health Plan Sr Hmo $17 101%
Scan Senior $17 101%
Self Pay/Ab774/Charity Discount $17 101%
Sr Capitation $17 101%
UnitedHealthcare $17 - $20 101%
Veterans Administration $17 101%
Coventry $18 - $19 107%
Prime Health Services Wcomp $18 107%
Align Senior Care $19 113%
Prime Health Services Senior $19 113%
Welbehealth Sr/Pace $19 113%
Three Rivers Wcomp $20 119%
Workers Comp Non-Contracted $20 119%
Iehp Covered Ca $21 125%
Molina Covered Ca $21 125%
Iehp Medi-Cal $22 131%
Prospect Health Plan Comm Hmo $23 137%
Altamed Mcal Hmo $24 143%
Altamed Mcal/Pace $24 143%
Choice Physicians Network $24 143%
Health Net Enhanced Ppo $24 143%
Hpn Commercial/Covered Ca $24 143%
Health Net Comm $25 149%
Three Rivers Network $29 173%
Velocity $29 - $152 173%
Cigna $34 - $270 202%
Blue Shield Epn $47 280%
Blue Shield Commercial $56 333%
First Health Commercial $56 - $177 333%
Primecare Commercial $69 - $220 411%
Multiplan Ppo $74 - $237 440%
Multiplan Wcomp $74 - $237 440%
Pnoa-Provider Network Of America $85 - $270 506%
Prime Health Services Commercial $85 - $270 506%
Ava Hospice $106 - $338 631%
Kaiser Commercial $106 - $338 631%
Living Waters Hospice $106 - $338 631%
Managed Health Network $106 - $338 631%
Other Insurance Loa $106 - $338 631%
Pacific Valley Hospice $106 - $338 631%
Private Pay $106 - $338 631%
Silverado Hospice $106 - $338 631%
Vna Hospice $106 - $338 631%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 28400 McCall Boulevard, Sun City, CA 92585
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals