CMS Price Transparency Data
Blood test, thyroid (TSH)
Facility: Watsonville Community Hospital
Billing Code: 84443 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84443
- Insurance Median: $97
- Cash Discount Price: $468
- vs. Medicare Baseline: 5.77x Medicare
The contracted insurance negotiated median rate for a Blood test, thyroid (TSH) at Watsonville Community Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $468. Compared to the federal Medicare reimbursement reference rate of $16.8, this hospital’s rate is 5.77x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$468
Average discount available for prompt cash payment at this facility.
Insurance Median
$97
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: $468 (2786%)
Insurance Median: $97 (577%)
Cash: $468 (2786% of Medicare)
Ins. Median: $97 (577% 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 577% of the Medicare baseline (a markup of 477%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $17 | 101% |
| Miscellaneous Work Comp | $17 | 101% |
| Travelers Insurance | $17 - $1,451 | 101% |
| Gallagher Bassett Svcs | $17 | 101% |
| Beta Healthcare Group | $17 | 101% |
| Kemper Group Workers Comp | $17 | 101% |
| Blue Shield PPO | $17 - $53 | 101% |
| Health Net of California | $17 - $910 | 101% |
| Ace-Usa | $17 | 101% |
| Crawford & Co | $17 | 101% |
| Pinnacle Healthcare Uc | $17 | 101% |
| Workers Comp | $17 | 101% |
| U.S. Dept. of Labor | $17 | 101% |
| Fleming & Associates | $17 | 101% |
| Alignment Health Plan | $17 | 101% |
| Nx Health Network | $17 | 101% |
| Liberty Mutual Work Comp | $17 | 101% |
| Western Growers Work Comp | $17 | 101% |
| UnitedHealthcare | $17 - $871 | 101% |
| Keenan & Assoc Work Comp | $17 | 101% |
| Hartford Workers' Comp | $17 | 101% |
| Secure Horizons Dign HMO | $17 - $290 | 101% |
| Fireman's Fund Work Comp | $17 | 101% |
| Secure Horizons | $17 | 101% |
| Republic Idemnity W/Comp | $17 | 101% |
| Tricare | $17 | 101% |
| Veterans Administration | $17 | 101% |
| Medicruz | $20 - $261 | 119% |
| Victim Compensation Plan | $20 - $1,451 | 119% |
| Medi-Cal E.R. | $21 | 125% |
| Medicaid / KanCare | $21 | 125% |
| Medi-Cal/Eds | $21 | 125% |
| Healthy Families | $21 - $53 | 125% |
| Ccs/Monterey County | $21 | 125% |
| California Childrens Srvs | $21 | 125% |
| Well Path | $21 - $1,451 | 125% |
| Aetna | $22 - $1,190 | 131% |
| Great-West/Phcs | $22 - $1,016 | 131% |
| Cigna | $22 - $1,016 | 131% |
| Blue Cross Blue Shield | $22 - $1,293 | 131% |
| Health Net Pmg HMO | $22 - $910 | 131% |
| Blue Shield HMO | $22 - $290 | 131% |
| Pacificare HMO | $22 - $871 | 131% |
| Alliance/Sccho | $23 | 137% |
| Western Growers Trust/Bc | $44 - $1,293 | 262% |
| Pinnacle Claims Tpa/Bc | $44 - $1,293 | 262% |
| Ufcw/Valley Clerks | $53 | 315% |
| Bs Employee | $53 | 315% |
| United Agriculture | $53 | 315% |
| Western Health Advantage | $54 - $726 | 321% |
| Health Net Smartcare Netw | $65 - $871 | 387% |
| Pacificare PPO | $65 - $871 | 387% |
| Self Pay | $65 - $871 | 387% |
| Health Net Blue and Gold | $68 - $910 | 405% |
| Health Net Canopycare HMO | $68 - $910 | 405% |
| Geha (Ccn) | $76 - $1,161 | 452% |
| Adventist Risk Management | $76 - $1,161 | 452% |
| Transwestern | $76 - $1,161 | 452% |
| First Health | $76 - $1,161 | 452% |
| Multiplan Inc PPO | $85 - $1,132 | 506% |
| Private Healthcare System | $85 - $1,132 | 506% |
| Salinas Valley Mem Hops | $93 - $1,234 | 554% |
| Coastal Healthcare Admin | $93 - $1,306 | 554% |
| City of Wats/Pinnacle Clm | $95 - $1,293 | 565% |
| Monterey Bay Pub Emp Trst | $95 - $1,293 | 565% |
| State Compensation Fund | $95 - $1,293 | 565% |
| Carpenters H&W Trust | $95 - $1,293 | 565% |
| Claims Management Wc | $95 - $1,293 | 565% |
| Calif Ironworkers Field | $95 - $1,293 | 565% |
| Teamsters Benefit Trust | $95 - $1,293 | 565% |
| Operating Engineers | $95 - $1,293 | 565% |
| Laborers Health & Welfare | $95 - $1,293 | 565% |
| Sheet Metal Workers | $95 - $1,293 | 565% |
| Robert Kennedy/Ccn | $95 - $1,293 | 565% |
| Delta Health Systems | $95 - $1,293 | 565% |
| United Administrative | $109 - $1,451 | 649% |
| Allstate | $109 - $1,451 | 649% |
| Physicians Mutual | $109 - $1,451 | 649% |
| Prucare Pmg HMO | $109 - $1,451 | 649% |
| Sutter Health Plus | $109 - $1,451 | 649% |
| Farmers Insurance | $109 - $1,451 | 649% |
| Bankers Life & Casualty | $109 - $1,451 | 649% |
| Apwu Health Plan | $109 - $1,451 | 649% |
| Aaa | $109 - $1,451 | 649% |
| Zenith National Ins | $109 - $1,451 | 649% |
| Wholesale Beer Distributo | $109 - $1,451 | 649% |
| Miscellaneous Insurance | $109 - $1,451 | 649% |
| Aarp | $109 - $1,451 | 649% |
| Prucare Pmg POS | $109 - $1,451 | 649% |
| Miscellaneous Auto | $109 - $1,451 | 649% |
| North Calif Bakery Driver | $109 - $1,451 | 649% |
| State Farm Ins | $109 - $1,451 | 649% |
| Humana | $109 - $1,451 | 649% |