CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Garfield Medical Center
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $20
- Cash Discount Price: $222
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Garfield Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.19x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$222
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: $222 (1321%)
Insurance Median: $20 (119%)
Cash: $222 (1321% 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 |
|---|---|---|
| Access Ipa Ancillary | $2 - $130 | 12% |
| Associated Hispanic Phys Of So Cal | $2 - $87 | 12% |
| Care First Health Plan | $2 - $43 | 12% |
| Pacific Independent Physician Association | $2 - $69 | 12% |
| UnitedHealthcare | $2 - $260 | 12% |
| Employee Health Systems Mg | $4 - $87 | 24% |
| Ahmc Healthcare Inc | $5 - $130 | 30% |
| Family Health Alliance | $5 - $130 | 30% |
| Allied Physicians Risk Pool | $6 - $152 | 36% |
| Allied Physicians Risk Pool Agreement | $6 - $152 | 36% |
| Healthnet Medi Cal Cap | $6 - $152 | 36% |
| Pipa Risk Pool Agreement | $6 - $152 | 36% |
| Central Health Plan | $7 - $173 | 42% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $7 - $173 | 42% |
| Health Net Foundation M Cal (Family Health Alliance) | $7 - $173 | 42% |
| Molina Medical Group | $7 - $169 | 42% |
| Phys Assoc Of San Gab Valley | $7 - $173 | 42% |
| Allied Physicians Med Grp | $9 - $216 | 54% |
| Blue Cross Blue Shield | $9 - $216 | 54% |
| Blue Shield Of California | $9 - $216 | 54% |
| Health Net | $10 - $364 | 60% |
| Health Net Comm/Hmo | $10 - $238 | 60% |
| La Care Health Plan | $10 - $238 | 60% |
| Alhambra Hospital | $11 - $260 | 65% |
| Care 1St Health Plan | $11 - $260 | 65% |
| Interplan | $11 - $325 | 65% |
| Veterans Administration | $12 | 71% |
| Aetna | $13 - $315 | 77% |
| First Health Network | $13 - $303 | 77% |
| One Health Plan | $13 - $303 | 77% |
| Fmc Los Angeles Co Epo | $14 - $325 | 83% |
| Allied Physicians | $15 - $25 | 89% |
| Beverly Hospital | $15 - $18 | 89% |
| Brand New Day | $15 - $21 | 89% |
| Care 1St Mcl/Gar Cap Reciprocity | $15 | 89% |
| Community Health Plan | $15 | 89% |
| Corvel Corporation | $15 - $346 | 89% |
| Emanate Health | $15 - $21 | 89% |
| Healthy Way La | $15 | 89% |
| Other Non-Contracting Medi-Cal | $15 | 89% |
| Physicians Healthways Medi-Cal | $15 - $433 | 89% |
| Aids Health Foundation | $16 - $18 | 95% |
| Americas Health Plan | $16 - $368 | 95% |
| Apa Aco Inc | $16 | 95% |
| Avanti | $16 - $20 | 95% |
| Blue Shield | $16 - $236 | 95% |
| Cms | $16 | 95% |
| Easy Choice Health Plan | $16 | 95% |
| Health Payors Organization | $16 - $390 | 95% |
| Humana | $16 | 95% |
| Multiplan | $16 - $368 | 95% |
| Non-Contract Medi-Care | $16 | 95% |
| Pacific Alliance Medical Center Comm/Sr | $16 | 95% |
| Physicians Healthways Medical Corporation | $16 - $433 | 95% |
| Advantage Care Ipa | $17 - $433 | 101% |
| Alignment Health Plan | $17 | 101% |
| Cv-19 Hrsa Uninsured Testing And Tx | $17 | 101% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $17 - $18 | 101% |
| Hollywood Presbyterian Medpoint Mcal | $17 - $18 | 101% |
| La Care Covered Direct | $17 | 101% |
| Molina Healthcare | $17 | 101% |
| Molina Healthcare Of California | $17 - $21 | 101% |
| Scan Health Plan Sr Hmo | $17 | 101% |
| Self-Pay | $17 | 101% |
| State Of California Medi-Cal | $17 - $18 | 101% |
| Ucla Impact Dept Of Uncology | $17 | 101% |
| Ahmc Health Epo | $18 - $21 | 107% |
| Athens Administrators | $18 - $20 | 107% |
| Caloptima Direct | $18 - $25 | 107% |
| East La Reg Ctr | $18 - $433 | 107% |
| Inter Valley Health Plan | $18 | 107% |
| Knox-Keene Act | $18 - $21 | 107% |
| National Disaster Medical System | $18 | 107% |
| Non Contract Commercial | $18 - $433 | 107% |
| One Legacy | $18 - $433 | 107% |
| Other Non-Contracted Workers Compensation | $18 - $20 | 107% |
| Physician Healthways Medical Corporation | $18 - $19 | 107% |
| Preferred Health Network | $18 - $19 | 107% |
| Private Pay | $18 - $433 | 107% |
| San Miguel Health Plan | $18 | 107% |
| Cigna | $19 | 113% |
| Chinatown Service Center Pace | $20 | 119% |
| Health Net Inc | $27 | 161% |
| Pacificare Of California Inc | $34 | 202% |
| Pacificare Ppo | $34 | 202% |