CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Modoc Medical Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $147
  • Cash Discount Price: $169
  • vs. Medicare Baseline: 8.75x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Modoc Medical Center is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 8.75x the Medicare baseline. Located in 1111 N Nagle Street, Alturas, CA.
Cash / Self-Pay
$169

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

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: $169 (1006%)
Insurance Median: $147 (875%)
Cash: $169 (1006% of Medicare)
Ins. Median: $147 (875% 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 875% of the Medicare baseline (a markup of 775%). 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
Multiplan Wc $16 95%
Integrated Hp Wc $17 101%
Ntwrks By Design Wc - All Plans $17 101%
Adv Med Mgmt - All Plans $19 113%
Medi-Cal $19 113%
Medi-Cal 7/1/24 $19 113%
Partnership Hp - All Plans $19 113%
Blue Shield Mcr Adv $92 548%
Blue Shield Va $92 548%
UnitedHealthcare $92 - $161 548%
Tricare $97 577%
Healthnet Mcr Adv $98 583%
Blue Cross Blue Shield $139 - $155 827%
Blue Shield Exch $139 827%
Blue Shield Comm - All Other Plans $155 923%
Carelon - All Plans $155 923%
Corvel - All Plans $159 946%
Aetna $161 958%
Coventry/First Health - All Plans $161 958%
Galaxy Health - All Plans $161 958%
Healthnet Comm - All Other Plans $161 958%
Hmn - All Plans $161 958%
Integrated Hp - All Other Plans $161 958%
Interplan - All Plans $161 958%
Multiplan - All Other Plans $161 958%
Superior Ca Ppo - All Plans $161 958%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 N Nagle Street, Alturas, CA 96101
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals