CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Casa Colina Hospital

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $18
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Casa Colina Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.07x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$22

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: $22 (131%)
Insurance Median: $18 (107%)
Cash: $22 (131% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Heritage Prvdr Ntwrk Mcal $13 77%
Prospect Hp Mcal $15 89%
UnitedHealthcare $15 - $17 89%
Promed Hlth Ntwrk Op Only - All Plans $16 95%
Aetna $17 - $36 101%
Blue Cross Blue Shield $17 - $59 101%
Blue Shield Mcr Adv $17 101%
Caremore Mcr Adv - All Plans $17 101%
Central Hlth Plan - All Plans $17 101%
Doctors Managed Op Only - All Plans $17 101%
Empire Healthcare Op Only - All Plans $17 101%
Epic Comm - All Other Plans $17 101%
Epic Mcr Adv $17 101%
Focus Healthcare Wc - All Plans $17 101%
Healthnet Mcr Adv $17 101%
Humana $17 - $50 101%
Iehp - All Other Plans $17 101%
Iehp Mcr Adv $17 101%
Kaiser Comm - All Other Plans $17 101%
Kaiser Mcr Adv $17 101%
Premiercare Op Only - All Plans $17 101%
Prospect Hp Mcr Adv $17 101%
Triwest - All Plans $17 101%
Wellcare Mcr Adv - All Plans $17 101%
Prospect Hp Comm - All Other Plans $18 107%
Medi-Cal $19 113%
Affiliated Hlth Funds - All Plans $21 125%
Kaiser Mcal $21 125%
Cigna $25 149%
Heritage Prvdr Ntwrk Comm - All Other Plans $40 238%
Heritage Prvdr Ntwrk Mcr $40 238%
Healthnet Comm - All Other Plans $41 244%
Iehp Mcal $48 286%
Corvel - All Plans $50 298%
Coventry - All Plans $50 298%
Multiplan - All Plans $50 298%
Three Rivers - All Plans $50 298%
Brand New Day Mcr Adv - All Plans $60 357%
Galaxy Provdr Ntwrk - All Plans $71 423%
Blue Shield Comm - All Other Plans $74 440%
Healthcare Partners - All Other Plans $81 482%
Healthcare Partners Mcr $81 482%
Primecare Comm - All Other Plans $81 482%
Primecare Mcr Adv $81 482%
Prospect Med Grp Alta - All Plans $86 512%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals