CMS Price Transparency Data

Blood test, thyroid (TSH)

Facility: Hospital Pavia Hato Rey, Inc

Billing Code: 84443 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84443
  • Insurance Median: $25
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Hospital Pavia Hato Rey, Inc is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 1.49x the Medicare baseline. Located in Ave Ponce De Leon 435, Hato Rey, PR.
Cash / Self-Pay
$35

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: $35 (208%)
Insurance Median: $25 (149%)
Cash: $35 (208% 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
Mso $15 - $17 89%
First Medical $16 - $30 95%
Medicare (plans) $17 101%
Triple S $18 - $27 107%
Va $18 107%
Tricare $19 113%
Plan De Salud Menonita $20 - $22 119%
Fondo Del Seguro Estado $21 125%
Ch $23 137%
Mcs $24 - $27 143%
Aarp $25 149%
Acaa $25 149%
Humana $27 - $30 161%
Bl $28 167%
Auxilio Salud Plus $30 179%
Prossam $30 179%
Bella Vista $40 238%
Corvel Network $40 238%
Mapfre $40 238%
Mc $40 238%
Privado $40 238%
Cigna $42 250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Ave Ponce De Leon 435, Hato Rey, PR 00919
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals