CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: John Muir Behavioral Health Center

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $16
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at John Muir Behavioral Health Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 0.95x the Medicare baseline. Located in 2740 Grant Street, Concord, CA.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $12 (71%)
Insurance Median: $16 (95%)
Cash: $12 (71% of Medicare)
Ins. Median: $16 (95% 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
Blue Shield Hmo [1006103] $2 - $470 12%
Blue Shield Ppo [1006104] $2 - $470 12%
Blue Shield-Network [1006026] $2 - $470 12%
Contra Costa County Jail [1012104] $2 - $430 12%
Federal Correction Institute [1062104] $2 - $430 12%
Fortified Provider Network [1063104] $2 - $430 12%
Galaxy Health Network [1064104] $2 - $430 12%
Health Management Network [1066104] $2 - $430 12%
Healthsmart - Pka Interplan [1031104] $2 - $430 12%
Hospice Of East Bay [1085104] $2 - $430 12%
Humana $2 - $430 12%
Integrated Health Plan [1075104] $2 - $430 12%
Medigap [1036001] $2 - $430 12%
National Provider Network/Plancare America [1069104] $2 - $430 12%
Networks By Design [1084104] $2 - $430 12%
Pponext [1072104] $2 - $430 12%
Sutter Preferred Health Plan [1044104] $2 - $430 12%
Three Rivers Provider Network [1073104] $2 - $430 12%
Aetna $3 - $586 18%
Aps Healthcare [1003103] $3 - $586 18%
Blue Cross Blue Shield $3 - $586 18%
Brms [1091104] $3 - $586 18%
Carelon Behavioral Health [1050104] $3 - $537 18%
Delta Health Systems [1032104] $3 - $586 18%
Empire Plan [1092104] $3 - $586 18%
Health Net Hmo [1028103] $3 - $537 18%
Health Net Ppo [1028104] $3 - $537 18%
Health Net-Network [1028026] $3 - $537 18%
Healthcomp [1089104] $3 - $586 18%
Kaiser Hmo [1033103] $3 - $586 18%
Beacon Health Strategies [1005103] $4 - $782 24%
Carecentrix [1011001] $4 - $723 24%
Cigna $4 - $733 24%
Donor Network West [1008103] $4 - $723 24%
Generic Commercial/Indemnity [1017001] $4 - $723 24%
Western Health Advantage Hmo [1053103] $4 - $723 24%
Alignment Health [1177113] $17 101%
Care 1St Health Plan [1094113] $17 101%
Caremore [1171113] $17 101%
Essence Healthcare [1049128] $17 101%
Medicare (plans) $17 101%
Generic Hmo [1018103] $21 125%
Generic Ppo [1021104] $21 125%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2740 Grant Street, Concord, CA 94520
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric