CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Mendocino Coast

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $72
Cash Discount Price: $100
vs. Medicare Baseline: 4.29x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Mendocino Coast is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 4.29x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $100 (595%)

Insurance Median: $72 (429%)

Cash: $100 (595% of Medicare)

Ins. Median: $72 (429% 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 429% of the Medicare baseline (a markup of 329%). 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	$14 - $180	83%
Medi-Cal	$19	113%
Blue Shield Epn	$30 - $84	179%
Tricare	$39 - $109	232%
Ah Employee Health Plan - All Plans	$42 - $115	250%
Great West Hmo/Pos/Epo/Oa	$52 - $144	310%
Healthnet - All Plans	$52 - $145	310%
Great West Ppo - All Other Plans	$56 - $155	333%
Multiplan - All Plans	$56 - $155	333%
Partnership Hp Mcal-All Plans	$58	345%
Blue Shield - All Other Plans	$62 - $170	369%
Cigna	$63 - $173	375%
Ahcc - All Plans	$72 - $200	429%
Beech Street - All Plans	$72 - $200	429%
Blue Cross Blue Shield	$138 - $153	821%

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 $100.
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 Mendocino Coast 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.