CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Howard Memorial

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $93
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 5.54x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Howard Memorial is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.54x the Medicare baseline. Located in 1 Marcela Dr, Willits, CA.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $65 (387%)
Insurance Median: $93 (554%)
Cash: $65 (387% of Medicare)
Ins. Median: $93 (554% 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 554% of the Medicare baseline (a markup of 454%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 Mcare $3 - $67 18%
Medicare (plans) $3 - $67 18%
Tricare $3 - $67 18%
UnitedHealthcare $3 - $258 18%
Ah Employee Health Plan - All Plans $8 - $173 48%
Aetna $10 - $223 60%
Blue Shield - All Other Plans $10 - $228 60%
Blue Shield Epn $10 - $228 60%
Western Growers/Pinnacle - All Plans $11 - $250 65%
First Health Ppo - All Plans $12 - $266 71%
Ghn Ppo - All Plans $12 - $266 71%
Healthnet - All Plans $12 - $273 71%
Brms - All Plans $13 - $283 77%
Cigna $13 - $283 77%
Medi-Cal $15 - $19 89%
Blue Cross Blue Shield $167 - $201 994%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Marcela Dr, Willits, CA 95490
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals