CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Coastal Communities Hospital
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $18
- Cash Discount Price: $56
- vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Coastal Communities Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.07x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$56
Average discount available for prompt cash payment at this facility.
Insurance Median
$18
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: $56 (333%)
Insurance Median: $18 (107%)
Cash: $56 (333% of Medicare)
Ins. Median: $18 (107% 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 |
|---|---|---|
| Ihhi Reciprocity | $5 - $28 | 30% |
| First Health | $9 - $49 | 54% |
| Heritage Provider Network | $11 - $56 | 65% |
| Kaiser | $11 - $57 | 65% |
| Magellan | $11 - $56 | 65% |
| Cigna | $12 - $60 | 71% |
| Health Net | $12 - $68 | 71% |
| Multiplan | $13 - $65 | 77% |
| Networks By Design | $13 - $65 | 77% |
| Networks By Design Wc | $13 - $65 | 77% |
| Healthsmart | $14 - $70 | 83% |
| Interplan | $14 - $70 | 83% |
| Pnoa-Provider Network Of America | $14 - $74 | 83% |
| Prime Health | $14 - $70 | 83% |
| Prime Health Srvs | $14 - $74 | 83% |
| Monarch | $15 - $18 | 89% |
| Prime Health Srvs/Network | $15 - $79 | 89% |
| Prime Health Srvs/Wc | $15 - $18 | 89% |
| Altamed Health Services | $16 - $24 | 95% |
| Altamed Mcal Hmo (Ancillary) | $17 - $18 | 101% |
| Blue Shield | $17 - $64 | 101% |
| Caloptima | $17 - $24 | 101% |
| Central Health Plan Of California | $17 | 101% |
| Champion Health Plan | $17 | 101% |
| Champus | $17 - $18 | 101% |
| Choice Physicians Network | $17 | 101% |
| Citizens Choice Health Plan | $17 | 101% |
| Clever Care Health Plan | $17 | 101% |
| Easy Choice Health Plan | $17 | 101% |
| For Your Benefit | $17 | 101% |
| Healthcare Partners | $17 - $18 | 101% |
| Healthcare Partners Sr Hmo | $17 | 101% |
| Heritage | $17 | 101% |
| Hollywood Presbyterian | $17 - $18 | 101% |
| Humana | $17 | 101% |
| Imperial Health Plan Of Ca | $17 | 101% |
| Innovative Integrated Health | $17 | 101% |
| Kpc Healthcare Inc | $17 - $24 | 101% |
| Medcare Partners | $17 | 101% |
| Medi-Cal Hmo/Non Contract | $17 - $18 | 101% |
| Medicaid / KanCare | $17 - $18 | 101% |
| Onecare | $17 | 101% |
| Onecare Connect | $17 | 101% |
| Other Senior Non Contract | $17 | 101% |
| Prospect Health Plan | $17 - $25 | 101% |
| Scan Health Plan | $17 | 101% |
| Self Pay Ab774/Cbo Use Only | $17 | 101% |
| UnitedHealthcare | $17 | 101% |
| Us Dept Of Labor | $17 | 101% |
| Us Federal Marshall/Department Of Immigration | $17 | 101% |
| Velocity Provider Network Sr | $17 | 101% |
| Verda Health Plan Sr | $17 | 101% |
| Veterans Administration | $17 | 101% |
| Victim Of Violent Crime | $17 | 101% |
| Victoria Hospice | $17 | 101% |
| Aetna | $18 - $55 | 107% |
| Choc Health Alliance | $18 - $24 | 107% |
| County Of Orange | $18 - $24 | 107% |
| Coventry Auto Network | $18 | 107% |
| Coventry Wc | $18 - $19 | 107% |
| Family Choice | $18 - $24 | 107% |
| Lucet Behavioral Health Sr | $18 - $93 | 107% |
| Managed Health Network | $18 - $93 | 107% |
| Other Insurance Loa | $18 - $93 | 107% |
| Other Non Contracted Plans | $18 - $93 | 107% |
| Private Pay | $18 - $93 | 107% |
| Three Rivers | $18 - $20 | 107% |
| Us Behavioral Health Plan | $18 - $93 | 107% |
| Velocity National Provider Network Wc | $18 - $20 | 107% |
| Vitas Hospice | $18 - $93 | 107% |
| Workers Comp State Of California | $18 - $20 | 107% |
| Brand New Day | $19 | 113% |
| Monarch Health Plan | $19 | 113% |
| County Of Orange/Custody/Advanced Medmgt | $21 | 125% |
| Veterans Evaluation Services | $21 | 125% |
| Staywell/Island Home Ins | $24 | 143% |
| Three Rivers Network | $29 | 173% |
| Velocity National Provider Network Ppo | $29 | 173% |