CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Adventist Health Tillamook

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84443
Insurance Median: $112
Cash Discount Price: $79
vs. Medicare Baseline: 6.67x Medicare

The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Adventist Health Tillamook is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 6.67x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $79 (470%)

Insurance Median: $112 (667%)

Cash: $79 (470% of Medicare)

Ins. Median: $112 (667% 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 667% of the Medicare baseline (a markup of 567%). 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
Blue Cross Blue Shield	$32 - $238	190%
Medicare (plans)	$32 - $128	190%
Moda Health Plan - All Plans	$32 - $128	190%
Hvhs Mcare - All Plans	$33 - $130	196%
Sterling Life - All Plans	$34 - $133	202%
Devoted Health	$35 - $139	208%
Aetna	$36 - $254	214%
Lifewise - All Plans	$62 - $246	369%
Ah Employee Health Plan - All Plans	$65 - $257	387%
First Choice Health- All Plans	$65 - $257	387%
Health Net - All Plans	$65 - $257	387%
Cigna	$66 - $259	393%
Pacificsource - All Plans	$66 - $262	393%
Phcs Preferred - All Plans	$66 - $259	393%
UnitedHealthcare	$66 - $259	393%
Ods Health Plan - All Other Plans	$67 - $265	399%
Providence Preferred - All Plans	$68 - $268	405%
Workers Comp	$69 - $273	411%

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 $79.
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 Tillamook 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.