CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Castle

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $129
Cash Discount Price: $70
vs. Medicare Baseline: 7.68x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Castle is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 7.68x the Medicare baseline. Located in 640 Ulukahiki St, Kailua, HI.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$129

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: $70 (417%)

Insurance Median: $129 (768%)

Cash: $70 (417% of Medicare)

Ins. Median: $129 (768% 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 768% of the Medicare baseline (a markup of 668%). 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
Kfh Mcr Adv	$17	101%
Medicare (plans)	$17	101%
Ohana Health Plan - All Plans	$17	101%
Devoted Hlth Mcr Adv - All Plans	$18	107%
UnitedHealthcare	$23	137%
Multiplan Hmn - All Plans	$26	155%
Pacific Admin Ppo - All Plans	$27 - $43	161%
Uni Health Alliance - All Plans	$27 - $43	161%
Hmsa Hmo	$36	214%
Hmsa Ppo - All Other Plans	$36	214%
Alohacare Quest Mcaid - All Other Plans	$40 - $63	238%
Hwmg/Hmaa - All Plans	$118 - $187	702%
Health Alliance - All Plans	$129 - $203	768%
Mdx Hawaii Ppo - All Plans	$129 - $203	768%
Kfh - All Other Plans	$137 - $216	815%
First Health Ppo - All Plans	$151 - $239	899%
Medicaid / KanCare	$161 - $254	958%
State Of Hi Nonprofit - All Plans	$282 - $444	1679%

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 $70.
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 Castle 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.