CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Sherman Oaks Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $10
Cash Discount Price: $16
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Sherman Oaks Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 0.60x the Medicare baseline. Located in 4929 Van Nuys Blvd, Sherman Oaks, CA.

Cash / Self-Pay

$16

Average discount available for prompt cash payment at this facility.

Insurance Median

$10

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: $16 (95%)

Insurance Median: $10 (60%)

Cash: $16 (95% of Medicare)

Ins. Median: $10 (60% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$4 - $21	24%
Aids Healthcare Foundation	$4 - $17	24%
Alignment	$4 - $17	24%
Americas Choice Provider Network	$4 - $20	24%
Blue Cross Blue Shield	$4 - $24	24%
Blue Shield Of Ca, Va	$4 - $17	24%
Blue Shield Of Promise	$4 - $17	24%
Brand New Day	$4 - $25	24%
Ca Foundation For Medical Center	$4 - $22	24%
Corvel	$4 - $19	24%
Elite Health Plan	$4 - $17	24%
Employer Direct Healthcare	$4 - $24	24%
Health Net Of Ca	$4 - $25	24%
Healthsmart Preferred Network	$4 - $20	24%
Imperial Health Plan	$4 - $17	24%
L.A Care Health Plan	$4 - $17	24%
Managed Health Network	$4 - $17	24%
Medicare (plans)	$4 - $17	24%
Molina	$4 - $17	24%
Multiplan	$4 - $20	24%
Naphcare	$4 - $26	24%
Prime Health Services	$4 - $20	24%
Provider Network Of America	$4 - $20	24%
Provider Select	$4 - $20	24%
Renal Payer Solutions	$4 - $17	24%
Three Rivers	$4 - $20	24%
Traditional Medi-Cal	$4 - $17	24%
Tricare	$4 - $17	24%
Usa Senior Care Network	$4 - $17	24%
Worker Comp	$4 - $22	24%
Zelis Healthcare	$4 - $19	24%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $16.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84443.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sherman Oaks Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84443.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.