CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $19
Cash Discount Price: $158
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Shriners Hospitals for Children Northern Calif is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.13x the Medicare baseline. Located in 2425 Stockton Boulevard, Sacramento, CA.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

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: $158 (940%)

Insurance Median: $19 (113%)

Cash: $158 (940% of Medicare)

Ins. Median: $19 (113% 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.

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
Aetna	$8 - $21	48%
Blue Cross Blue Shield	$8 - $25	48%
Amerigroup Nv	$10	60%
Ambetter / Centene	$11 - $30	65%
Health Plan Of Nv	$11	65%
Soonercare	$15	89%
Amerigroup Tx	$16	95%
Medicaid / KanCare	$16	95%
Coventry Cares Ky	$17	101%
Humana	$17	101%
Molina Healthcare Of Ky	$17	101%
Molina Healthcare Of Ms	$17	101%
UnitedHealthcare	$17 - $24	101%
Cigna	$18	107%
Amerihealth Caritas Nc	$19 - $30	113%
Amerihealth Caritas Sc	$19	113%
Caresource Of Oh	$19	113%
Providence Health Plan	$19	113%
Caresource Of Ga	$21	125%
Central California Alliance For Health	$21	125%
Health Plan Of San Joaquin	$21	125%
Healthchoice Of Oklahoma	$21	125%
Kaiser Permanente	$21 - $100	125%
Molina Healthcare Of Ca	$21	125%
Partnership Healthplan Of Ca	$21	125%
Wellcare Of Ga	$21	125%
Gateway Health Plan	$23	137%
Sana Benefits	$24	143%
Dignity Health	$536	3190%

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 $158.
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 Shriners Hospitals for Children Northern Calif 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.