Thyroid Test (TSH) Cost in Washington (2026): Average Prices & What You'll Pay
What does a thyroid test (tsh) cost in Washington?
You could pay $30 or $110 for the same thyroid test (tsh) in Washington - depending entirely on which facility you choose. The median cash price across 84 reporting hospitals is $73. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where thyroid test (tsh) costs vary in Washington
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.
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.
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Cheapest Thyroid Test (TSH) Providers in Washington
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($73) |
|---|---|---|---|---|
| 1 | Odessa Memorial Healthcare Center | Odessa, WA | $22 | $51 below |
| 2 | Providence Health And Services - Washington | Colville, WA | $26 | $47 below |
| 3 | MultiCare Capital Medical Center | Olympia, WA | $30 | $43 below |
| 4 | MultiCare Covington Medical Center | Covington, WA | $30 | $43 below |
| 5 | MultiCare Auburn Medical Center | Auburn, WA | $30 | $43 below |
| 6 | Good Samaritan Hospital | Puyallup, WA | $30 | $43 below |
| 7 | Tacoma General Allenmore Hospital | Tacoma, WA | $30 | $43 below |
| 8 | Navos MultiTreatment Center | Seattle, WA | $33 | $40 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
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- 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
- Odessa Memorial Healthcare Center is the lowest-cost option at $22 - $51 below the median posted price ($73), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $73, 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.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| With insurance (commercial, average) | 52 | $18 to $87 | $37 |
| Without insurance (cash price) | 91 | $15 to $155 | $73 |
| Premera Blue Cross | 48 | $17 to $38 | $22 |
| Aetna | 46 | $17 to $158 | $62 |
| Cigna | 45 | $20 to $124 | $33 |
| UnitedHealthcare | 32 | $16 to $71 | $18 |
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 Washington?
Across 52 Washington hospitals, the negotiated rates commercial insurers pay for thyroid test (tsh) average $18 to $87 per hospital, with a median near $37. 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 Washington?
Cash (self-pay) prices for thyroid test (tsh) at 91 Washington hospitals range from $15 to $155, with a median of $73. 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 Premera Blue Cross in Washington?
Premera Blue Cross negotiated rates for thyroid test (tsh) at 48 Washington hospitals range from $17 to $38, with a median near $22. 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 Aetna in Washington?
Aetna negotiated rates for thyroid test (tsh) at 46 Washington hospitals range from $17 to $158, with a median near $62. 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 much does a thyroid test (tsh) cost with Cigna in Washington?
Cigna negotiated rates for thyroid test (tsh) at 45 Washington hospitals range from $20 to $124, 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 UnitedHealthcare in Washington?
UnitedHealthcare negotiated rates for thyroid test (tsh) at 32 Washington hospitals range from $16 to $71, with a median near $18. 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 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.
- Facility fee $7–$353
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $13–$353
Estimated from CMS fee schedules + commercial rate multipliers
Providence Health, Swedish Health Services (a Providence affiliate), and UW Medicine compete in the Western Washington market. Kaiser Permanente Washington has substantial commercial market share in the Puget Sound area. Eastern Washington operates as a distinct, lower-cost market anchored by Providence and MultiCare. Washington state has active price transparency enforcement.
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 (2) report prices above $258, including Kindred Hospital Seattle - First Hill at $353, 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 $74 versus $114 inpatient (about 1.5× more), so where a procedure happens often matters more than which hospital you pick.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$73 |
| Deductible met - 20% coinsurance | ~$15 |
| Out-of-network provider | $161+ |
Frequently asked questions: thyroid test (tsh) costs in Washington
How much does a thyroid test (tsh) cost in Washington?
The typical insurer-negotiated rate is $16, with most facilities between $13 and $22 (based on 82 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Washington hospitals run $15–$155; 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 Washington?
Based on declared prices, the lowest posted price in our Washington data is Odessa Memorial Healthcare Center in Odessa at about $22. By metro, Seattle has the lowest median ($16).
Why is a thyroid test (tsh) so much cheaper at some Washington hospitals?
Typical prices vary about 1.7× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Washington, the median cash (self-pay) price is $73 versus a median negotiated rate of $37 - about 2× 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 Washington?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read an EOB line by line
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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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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