CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Vallejo

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $17
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Vallejo is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.01x the Medicare baseline. Located in 525 Oregon St, Vallejo, CA.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $36 (214%)
Insurance Median: $17 (101%)
Cash: $36 (214% of Medicare)
Ins. Median: $17 (101% 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.

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
Healthnet-All Plans $2 - $79 12%
Blue Shield Behav Hlth $5 - $211 30%
Blue Shield Epn $5 - $221 30%
Blue Shield Non-Epn-All Other Plans $5 - $218 30%
UnitedHealthcare $5 - $299 30%
Western Growers-All Plans $5 - $249 30%
Phcs-All Plans $6 - $258 36%
Choicecare-All Plans $7 - $328 42%
Interplan-All Plans $7 - $305 42%
Beech Street-All Plans $8 - $352 48%
Cigna $8 - $375 48%
Galaxy Network-All Plans $9 - $422 54%
Health Management Network-All Plans $9 - $399 54%
Kaiser-All Plans $9 - $394 54%
Three Rivers-All Plans $9 - $422 54%
Medi-Cal $10 - $19 60%
Va Medi-Cal $10 - $19 60%
Blue Shield Mcr Adv $17 101%
Medicare (plans) $17 101%
Napa County Mcal Child $17 101%
Tricare $17 101%
Va Mcr-All Other Plans $17 101%
Ah Employee Health Plan-All Plans $30 179%
Aetna $98 583%
Blue Cross Blue Shield $162 - $194 964%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 Oregon St, Vallejo, CA 94590
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric