CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Whittier Hospital Medical Center
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $20
- Cash Discount Price: $13
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Whittier Hospital Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.19x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$13
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
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: $13 (77%)
Insurance Median: $20 (119%)
Cash: $13 (77% of Medicare)
Ins. Median: $20 (119% 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
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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 |
|---|---|---|
| Physician Healthways | $3 - $23 | 18% |
| Physicians Healthways Medical Corporation | $8 - $58 | 48% |
| Ahmc Reciprocity | $9 - $69 | 54% |
| Ahmc Reciprocity Agreement Senior/Commercial | $9 - $69 | 54% |
| Blue Cross Blue Shield | $9 - $116 | 54% |
| Capnet | $9 | 54% |
| Pacific Independent Physician Association | $9 - $69 | 54% |
| Wear And Wood | $9 - $92 | 54% |
| Edward Medical Group | $10 - $81 | 60% |
| UnitedHealthcare | $11 - $201 | 65% |
| Central Health Plan Of California | $12 - $92 | 71% |
| Molina Medical Center | $12 - $90 | 71% |
| Veterans Administration | $12 | 71% |
| Allied Physicians Ipa | $14 - $104 | 83% |
| Ahmc Medi-Cal Reciprocity Agreement | $15 | 89% |
| Aids Healthcare Foundation | $15 - $16 | 89% |
| Allied Physicians | $15 - $25 | 89% |
| Alta Med Health Network | $15 - $16 | 89% |
| Altamed Health Services Corporation | $15 | 89% |
| Beverly Hospital | $15 - $18 | 89% |
| Blue Shield Of California | $15 - $234 | 89% |
| Brand New Day | $15 - $21 | 89% |
| Emanate Health | $15 - $21 | 89% |
| Health Net | $15 - $138 | 89% |
| Healthy Way La | $15 | 89% |
| Heritage Provider Network | $15 - $23 | 89% |
| Kaiser Foundation | $15 - $162 | 89% |
| La Care Healthy Families/Healthy Kids | $15 | 89% |
| Non Contracted Medi-Cal | $15 | 89% |
| Prospect Health Plan | $15 - $27 | 89% |
| Synermed | $15 - $17 | 89% |
| Aetna | $16 - $168 | 95% |
| Alignment Health Plan | $16 | 95% |
| Alta Los Angeles Hospitals Inc | $16 | 95% |
| Apa/Aco Inc | $16 | 95% |
| Avanti | $16 - $20 | 95% |
| Caloptima | $16 - $21 | 95% |
| Central Health Plan | $16 | 95% |
| Easy Choice Health Plan | $16 | 95% |
| Humana | $16 | 95% |
| La Care Health Plan | $16 - $127 | 95% |
| Medicare (plans) | $16 - $17 | 95% |
| Pacificare Of California | $16 | 95% |
| Scan Health Plan | $16 | 95% |
| Care First Health Plan | $17 | 101% |
| Caremore | $17 | 101% |
| County Of Los Angeles Dept Of Health Services | $17 | 101% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $17 | 101% |
| Hollywood Presbyterian Adv Med Mcal | $17 | 101% |
| Hollywood Presbyterian Medpoint Mcal | $17 | 101% |
| La Care Covered Direct | $17 | 101% |
| Medi Caid/ Medi Cal | $17 | 101% |
| Molina Healthcare Of California | $17 | 101% |
| Pacific Alliance Medical Center | $17 | 101% |
| Private Pay | $17 | 101% |
| Prospect Medical | $17 - $127 | 101% |
| Self-Pay | $17 | 101% |
| Care 1St Health Plan | $18 - $139 | 107% |
| New Horizon Medical Group Inc | $18 - $139 | 107% |
| San Miguel Health Plan | $18 | 107% |
| Cigna | $19 | 113% |
| Fmc Los Angeles County | $19 - $173 | 113% |
| Tricare | $19 | 113% |
| Applecare Medical Group | $20 | 119% |
| Athens Administrators Ahmc Work Comp | $20 | 119% |
| Chinatown Service Center Pace | $20 | 119% |
| Cost Containment | $20 - $150 | 119% |
| Davita Healthcare Partners | $20 - $150 | 119% |
| Health Net Inc | $20 - $150 | 119% |
| Interplan Health Group | $20 | 119% |
| Misc 1 | $20 | 119% |
| Multiplan Wc | $20 | 119% |
| Universal Care | $20 - $162 | 119% |
| Ahmc Health | $21 | 125% |
| Asi/Flex | $21 - $162 | 125% |
| Healthnet | $21 - $160 | 125% |
| Knox-Keene Act | $21 | 125% |
| Monarch Healthplan | $21 | 125% |
| Us Comp Care | $21 - $162 | 125% |
| Value Healthplan Of California | $21 - $162 | 125% |
| Coventry Health Care | $22 - $173 | 131% |
| Community Care Network | $23 - $173 | 137% |
| Coventry Health Care National Network | $23 - $173 | 137% |
| Interplan Corporation | $23 - $173 | 137% |
| Managed Care Administrators | $23 - $173 | 137% |
| Prohealth | $23 - $173 | 137% |
| Multiplan | $26 - $196 | 155% |
| Commercial Non Contract | $30 - $231 | 179% |
| Medi-Cal Sub Acute | $30 - $231 | 179% |
| One Legacy | $30 - $231 | 179% |
| Great-West Healthcare Of California | $2,500 | 14881% |