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

Thyroid Test (TSH) Cost in Missouri (2026): Average Prices & What You'll Pay

What does a thyroid test (tsh) cost in Missouri?

The same thyroid test (tsh) in Missouri might cost you $16 at one facility and $66 at another - the building you walk into drives the difference. The median cash price across 102 reporting hospitals is $42. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Three low-priced facilities in Missouri, from hospital price files

  • Mercy Hospital Lincoln $13
  • Mercy Perry $13
  • Saint Francis Medical Center · Cape Girardeau, MO $14

All 102 facilities are listed below, free.

Where thyroid test (tsh) costs vary in Missouri

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

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

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Cheapest Thyroid Test (TSH) Providers in Missouri

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($42)
1 Mercy Hospital Lincoln MO $13 $29 below
2 Mercy Perry MO $13 $29 below
3 Saint Francis Medical Center Cape Girardeau, MO $14 $28 below
4 Mercy Hospital Cassville MO $14 $28 below
5 Mercy St. Francis Hospital MO $14 $28 below
6 Mercy Hospital Aurora MO $14 $28 below
7 General John J Pershing Memorial Hospital Association Brookfield, MO $15 $27 below
8 SSM Regional Health Services Jefferson City, MO $15 $27 below

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • Mercy Hospital Lincoln is the lowest-cost option at $13 - $29 below the median posted price ($42), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $42, and it's often lower than what insurance pays before your deductible is satisfied.
  • Independent and doctor-office labs often charge much less than hospital labs for the same test and may not appear in this hospital-only dataset. Ask where your plan sends lab work.
Thyroid test (tsh) prices by coverage in Missouri, October 2026
CoverageHospitals with a rateTypical rangeMedian
With insurance (commercial, average)73$17 to $120$40
Without insurance (cash price)113$11 to $146$42
Anthem Blue Cross and Blue Shield65$17 to $133$52
UnitedHealthcare62$15 to $145$20
Cigna54$17 to $133$33
Aetna42$19 to $149$43

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does a thyroid test (tsh) cost with insurance in Missouri?

Across 73 Missouri hospitals, the negotiated rates commercial insurers pay for thyroid test (tsh) average $17 to $120 per hospital, with a median near $40. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does a thyroid test (tsh) cost without insurance in Missouri?

Cash (self-pay) prices for thyroid test (tsh) at 113 Missouri hospitals range from $11 to $146, with a median of $42. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does a thyroid test (tsh) cost with Anthem Blue Cross and Blue Shield in Missouri?

Anthem Blue Cross and Blue Shield negotiated rates for thyroid test (tsh) at 65 Missouri hospitals range from $17 to $133, with a median near $52. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does a thyroid test (tsh) cost with UnitedHealthcare in Missouri?

UnitedHealthcare negotiated rates for thyroid test (tsh) at 62 Missouri hospitals range from $15 to $145, with a median near $20. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.

How much does a thyroid test (tsh) cost with Cigna in Missouri?

Cigna negotiated rates for thyroid test (tsh) at 54 Missouri hospitals range from $17 to $133, with a median near $33. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

How much does a thyroid test (tsh) cost with Aetna in Missouri?

Aetna negotiated rates for thyroid test (tsh) at 42 Missouri hospitals range from $19 to $149, with a median near $43. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How where you go changes what you pay for thyroid test (tsh)

The same thyroid test (tsh) bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$6–$439
  • Facility fee $6–$439

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$8–$638
  • Facility fee $8–$638

Estimated from CMS fee schedules + commercial rate multipliers

BJC HealthCare, SSM Health, Mercy Health, and CoxHealth divide Missouri roughly by region, with meaningful inter-system competition in both St. Louis and Kansas City. Barnes-Jewish Hospital (BJC) is the dominant academic medical center. Rural Missouri - particularly the Ozarks - has significant critical access hospital coverage where pricing structures differ from PPS hospitals.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (10) report prices above $166, including Kindred Hospital St. Louis South at $439, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $35 versus $66 inpatient (about 1.9× more), so where a procedure happens often matters more than which hospital you pick.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Your situation Estimated out-of-pocket
Deductible not yet met ~$42
Deductible met - 20% coinsurance ~$8
Out-of-network provider $92+

Frequently asked questions: thyroid test (tsh) costs in Missouri

How much does a thyroid test (tsh) cost in Missouri?

The typical insurer-negotiated rate is $16, with most facilities between $9 and $16 (based on 102 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Missouri hospitals run $11–$146; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a thyroid test (tsh) in Missouri?

Based on declared prices, the lowest posted price in our Missouri data is Mercy Hospital Lincoln at about $13. By metro, Kansas City has the lowest median ($30).

Why is a thyroid test (tsh) so much cheaper at some Missouri hospitals?

Typical prices vary about 1.8× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Missouri, the median cash (self-pay) price is $42 versus a median negotiated rate of $40 - about 1.1× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a thyroid test (tsh) in Missouri?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Missouri

Thyroid Test (TSH), elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Missouri

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Infusions

Emergency care

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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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