CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Loma Linda University Children's Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $20
Cash Discount Price: $44
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Loma Linda University Children's Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.19x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$44

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: $44 (262%)

Insurance Median: $20 (119%)

Cash: $44 (262% 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

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
Adventist Health	$5 - $61	30%
Lluh Dept Of Risk Management	$6 - $73	36%
Kaiser Foundation Hospitals	$9 - $203	54%
Epic Health Plan	$10 - $122	60%
Blue Shield Of California	$11 - $95	65%
Global Benefits Group	$14 - $183	83%
Temecula Valley Physicians Medical Group	$14 - $86	83%
Trivalley Medical Group	$14 - $86	83%
UnitedHealthcare	$14	83%
Cigna	$15 - $106	89%
Aetna	$16 - $94	95%
Networks By Design	$16 - $198	95%
Alpha Care Medical Group	$17 - $25	101%
Dignity Health	$17 - $25	101%
Inland Empire Health Plan (Iehp)	$17 - $25	101%
Upland Medical Group	$17	101%
Vantage Medical Group	$17 - $25	101%
Multiplan	$19 - $244	113%
Galaxy Health	$20 - $259	119%
Prime Health Services	$20 - $259	119%
Molina Healthcare Of Ca	$21 - $23	125%
Heritage Provider Network	$28	167%
Blue Cross Blue Shield	$166	988%

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 $44.
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 Loma Linda University Children's 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.