CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Tulare

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $21
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Tulare is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.25x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $38 (226%)
Insurance Median: $21 (125%)
Cash: $38 (226% of Medicare)
Ins. Median: $21 (125% 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
Blue Shield Epn $3 - $135 18%
Blue Cross Blue Shield $5 - $171 30%
Blue Shield-All Other Plans $5 - $187 30%
Cigna $5 - $198 30%
Western Growers - All Plans $5 - $196 30%
Hs Interplan-All Plans $7 - $286 42%
Network By Design-All Plans $7 - $278 42%
UnitedHealthcare $7 - $309 42%
Multiplan - All Plans $9 - $363 54%
Ccipa Medi-Cal - All Plans $10 - $25 60%
Dignity Mcal Op Only $10 - $21 60%
Healthnet Medi-Cal $10 - $25 60%
Independence Op Only - All Plans $10 - $21 60%
Medi-Cal $10 - $19 60%
Blue Shield Mcare $17 101%
Dignity Mcr Op Only - All Other Plans $17 101%
Fhcn Pace Mcr Adv - All Plans $17 101%
Medicare (plans) $17 101%
Prime Health - All Plans $17 101%
Tricare $17 101%
Cal Forensic Med Grp - All Plans $22 131%
Prison Hlthcre - All Plans $22 131%
Bright Health - All Plans $24 143%
Ah Employee Health Plan - All Plans $30 179%
Incentive Hlth - All Plans $30 179%
Healthnet Hmo/Ppo - All Other Plans $45 268%
Aetna $145 863%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals