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Reviewed by John Caruso, FSA, MAAA • Data last updated

Thyroid Test (TSH) Cost (2026): $20–$99

Typical cost

$20–$99

Sticker price is almost never what patients actually pay.

Your actual cost depends on your deductible, coinsurance, and where you are in your plan.

👉 The same Thyroid Test (TSH) could cost you $0 or $99.

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The TSH test measures thyroid-stimulating hormone to check how well the thyroid is working. It is the usual first test for an underactive or overactive thyroid.

CostKits Data - Thyroid Test (TSH)

$20–$100
National typical range
Median across all 50 states
20×
National price spread
Cheapest vs. most expensive market
7,175
Facilities in our database
89% have observed negotiated rates
High
Shopping potential
Facility type is the biggest cost lever
50
States with cost data
Updated 2026

CostKits Market Intelligence - Thyroid Test (TSH)

Confidence: High
Sources Used
  • CMS Medicare fee schedules (MPFS, OPPS, ASC)
  • Hospital price transparency files
  • Commercial rate relativity model
Estimate Composition
Observed negotiated rates
90%
Medicare baseline
5%
Estimated relativity
5%
362 geographic markets analyzed
7,175 facilities in dataset
50 states + 312 metros

Where people are getting Thyroid Test (TSH) done

A sample of real facilities across major U.S. metros - click a pin to save one, or enter your ZIP to find facilities near you.

Click a pin to save a facility - auto-cycling through major metros

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Facility locations from CMS hospital price-transparency filings. Get a personalized cost estimate →
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How to Use This Data

These prices come from hospital price transparency files that hospitals are required by law to publish. They represent the range of what hospitals declare as their charges - actual negotiated rates with insurers are typically 40–60% lower.

If you have insurance: Your out-of-pocket cost is determined by your deductible, coinsurance, and your insurer's negotiated rate with the specific facility. Call your insurer for a pre-service cost estimate before scheduling.

If you are uninsured: Call 2–3 facilities directly and ask for their self-pay or cash-pay rate. Most facilities offer 20–50% discounts off list prices for upfront payment.

If you received a bill: Upload it to CostKits to compare what you were charged against what other facilities in your state reported.

What you pay for a thyroid test (tsh) depends on where you go and what is billed separately. Most patients find out after.

Your personalized cost report includes:

  • ✓ TSH alone or a panel: A TSH by itself is priced differently from a panel that adds T3 and T4. Free T4 is not included here.
  • ✓ Where the blood is tested: Hospital labs, independent labs and doctor-office labs charge very different prices for the same test.
  • ✓ Which bills usually arrive separately, and which providers to check are in-network
  • ✓ The questions to ask before you schedule, so the estimate covers everything
  • ✓ A real patient billing breakdown, line by line

Free for patients - takes 30 seconds to get.

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What's Actually on a Thyroid Test (TSH) Bill?

A single thyroid test (tsh) can generate multiple separate bills. Each provider bills independently and they often arrive weeks apart. Here's what to expect at a Hospital Outpatient:

Billing Component Always? Typical Amount Separate Bill? Notes
Laboratory Test Fee Always - Sometimes
Specimen Collection Fee Always - Sometimes

Thyroid Test (TSH) Cost-Saving Decision Guide

Three moves that reduce your actual out-of-pocket cost - not just awareness, but specific decisions you can make before scheduling:

Choose the right facility
If: Procedure is non-urgent + a hospital outpatient department is where you're scheduled
Typical savings: $25–$50 - Moving from a hospital outpatient department to a doctor's office is typically the single biggest lever - identical care, lower overhead
Ask for the cash-pay rate
If: Uninsured or paying out-of-pocket + facility has a cash-discount program
Typical savings: 20–30% - Most facilities offer 20–30% off the standard negotiated rate for upfront cash payment - always ask the billing department before scheduling

Explore Thyroid Test (TSH) Costs

How Insurance Affects the Cost of This Procedure

Understanding these insurance concepts can help you estimate what you may actually pay for this procedure.

Cheapest States for Thyroid Test (TSH)

The 10 lowest-cost states for thyroid test (tsh), by typical facility price range. Use these as a benchmark.

  1. 1. Utah $13–$43
  2. 2. Rhode Island $14–$44
  3. 3. Tennessee $16–$44
  4. 4. California $16–$52
  5. 5. Florida $15–$54
  6. 6. Indiana $11–$65
  7. 7. Mississippi $19–$60
  8. 8. Georgia $16–$65
  9. 9. Maryland $32–$49
  10. 10. Michigan $17–$64

Most Expensive States for Thyroid Test (TSH)

The 10 highest-cost states for thyroid test (tsh). If you're in one of these, shopping facilities and asking for the cash-pay rate matters most.

  1. 1. Alaska $121–$221
  2. 2. Vermont $94–$193
  3. 3. Hawaii $84–$131
  4. 4. Pennsylvania $26–$178
  5. 5. Nebraska $85–$117
  6. 6. Nevada $45–$140
  7. 7. South Dakota $28–$146
  8. 8. Texas $17–$153
  9. 9. Connecticut $67–$101
  10. 10. New Mexico $43–$118

Thyroid Test (TSH) Cost by State

Data source: CMS Hospital Price Transparency Machine-Readable Files. Prices represent hospital-declared charges and do not include physician fees, anesthesia, or other separately-billed services.

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published October 29, 2026 · Updated October 29, 2026

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