CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Hospital Metropolitano Dr Pila

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $25
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Hospital Metropolitano Dr Pila is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.49x the Medicare baseline. Located in 2435 Boulevard Luis A Ferre, Ponce, PR.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $13 (77%)
Insurance Median: $25 (149%)
Cash: $13 (77% of Medicare)
Ins. Median: $25 (149% 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
Tricare $13 77%
Mso $15 - $16 89%
First Medical $16 - $30 95%
Privado $16 95%
Triple S $18 - $27 107%
Medicare (plans) $19 113%
Plan De Salud Menonita $20 - $21 119%
Ch $23 137%
Mcs $23 - $27 137%
Va $23 137%
Hospicio $24 143%
Humana $24 - $30 143%
Salud Correccional $24 143%
Aarp $25 149%
Acaa $25 149%
Fondo Del Seguro Estado $25 149%
Auxilio Mutuo $30 179%
Bl $30 179%
Prossam $30 179%
Mapfre $40 238%
Mc $40 238%
Cigna $42 250%
Comerciales $50 298%
Life Link $50 298%
Wellcare $50 298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2435 Boulevard Luis A Ferre, Ponce, PR 00717
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals