CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Manati Medical Center Dr Otero Lopez

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $28
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Manati Medical Center Dr Otero Lopez is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.67x the Medicare baseline. Located in Carr 668 Calle Hernandez Carrion Urb Atenas, Manati, PR.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $104 (619%)
Insurance Median: $28 (167%)
Cash: $104 (619% of Medicare)
Ins. Median: $28 (167% 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
Plan Vital $15 - $24 89%
Medicare (plans) $17 101%
Triple S $18 - $24 107%
Menonita Comercial $20 119%
Mmm $23 137%
Triple S Com $24 - $30 143%
Acaa $25 149%
Humana $30 179%
International Medical Card $30 179%
Prossam $36 214%
Mapfre $40 238%
McS Classicare $40 238%
Medical Card System $40 238%
Palic $50 298%
Clinical Research $140 833%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 668 Calle Hernandez Carrion Urb Atenas, Manati, PR 00674
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals