CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Tehachapi Valley

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $58
Cash Discount Price: $82
vs. Medicare Baseline: 3.45x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Tehachapi Valley is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 3.45x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

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: $82 (488%)

Insurance Median: $58 (345%)

Cash: $82 (488% of Medicare)

Ins. Median: $58 (345% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 345% of the Medicare baseline (a markup of 245%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$2 - $166	12%
Healthnet Mcare	$3 - $64	18%
Medicare (plans)	$3 - $64	18%
Tricare	$3 - $64	18%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$3 - $64	18%
Network Providers- All Plans	$4 - $82	24%
Kaiser Ip/Op Only- All Other Plans	$5 - $110	30%
Blue Shield Epn- All Other Plans	$6 - $143	36%
Centivo - All Plans	$6 - $144	36%
Western Grwrs/Pinnacle - All Plans	$6 - $142	36%
Blue Shield Non-Epn	$7 - $169	42%
Klhp-Kern Legacy Epo -All Other Plans	$7 - $169	42%
Ah Employee Health Plan - All Plans	$8 - $179	48%
Blue Cross Blue Shield	$8 - $195	48%
Healthnet- All Other Plans	$11 - $260	65%
Cigna	$12 - $264	71%
Coventry- All Plans	$13 - $304	77%
Bc Mcal	$15 - $20	89%
Healthnet Medi-Cal	$15 - $24	89%
Kaiser Medi-Cal Ip/Op Only	$15 - $19	89%
Khs-Kern Hlth Systm Mcal	$15 - $25	89%
Medi-Cal	$15 - $19	89%
Universal Ipa Mcal Op/Profee Only	$15 - $19	89%
Oscar Health Plan- All Plans	$27	161%
Aetna	$99	589%

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 $82.
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 Adventist Health Tehachapi Valley 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.