TSH (thyroid stimulating hormone) cost.
What tsh (thyroid stimulating hormone) costs at 148 US hospitals across 68 metros, pulled from the federally-mandated machine-readable files each hospital is required to publish. Cash-pay range: $10 to $3,389 (339× spread). CPT code 84443.
Top 5 cheapest hospitals for tsh (thyroid).
| # | Hospital | Cash price |
|---|---|---|
| 1 |
Keck Hospital of USC
Los Angeles, CA
|
$10 to $131 |
| 2 |
USC Norris Cancer Hospital
Los Angeles, CA
|
$10 to $178 |
| 3 |
Houston Methodist Hospital
Houston, TX
|
$11 to $283 |
| 4 |
Stanford Health Care
Palo Alto, CA
|
$11 to $264 |
| 5 |
Allegheny General Hospital
Pittsburgh, PA
|
$12 to $115 |
See all 148 hospitals, your insurance, your zip.
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Compare tsh (thyroid) prices →What is tsh (thyroid stimulating hormone)?
TSH (thyroid stimulating hormone).
A blood test that measures TSH levels to evaluate thyroid function. Used to diagnose hypo- or hyperthyroidism, monitor thyroid medication, or investigate symptoms like fatigue, weight changes, or temperature sensitivity.
Very cheap test wholesale ($3-5 reagent cost). Hospital pricing reflects facility overhead, not test cost.
Why prices vary this much.
The same tsh (thyroid stimulating hormone) on the same equipment can cost 339 times more at one hospital than another. Three reasons.
Chargemasters are arbitrary. The "sticker price" hospitals publish was never designed for consumers. It's a starting number for negotiation with insurance companies, with adjustments stacked on top for decades. Almost no one pays the chargemaster.
Negotiated rates are confidential bilateral contracts. Each insurance company negotiates its own rate with each hospital. Aetna at Hospital A might pay 60% of what Cigna pays at the same hospital for the same code. You see one rate; the hospital sees dozens.
Cash pay is a separate thing entirely. Many hospitals offer a "self-pay" or "cash-pay" rate that's dramatically cheaper than what they'd bill insurance, especially for elective imaging. If you have a high-deductible plan, paying cash and filing for reimbursement (or just eating the cost) can be the cheapest path.
What to ask the hospital before you book.
The four questions that surface hidden costs:
1. "Is the price you're quoting me the all-in price, or just the facility fee?" Hospitals often quote the facility fee and bill the radiologist or anesthesiologist separately on a different invoice.
2. "What's the cash-pay rate vs the rate you'd bill my insurance?" Don't assume insurance is cheaper. For high-deductible plans, cash pay is often the better deal.
3. "If I'm uninsured, do you have a financial assistance policy I qualify for?" Federally-tax-exempt hospitals are required to have one, and it can knock 50-100% off the bill for households under specific income thresholds.
4. "If I get a bill and the price is different than what was quoted, what's your dispute process?" Get the answer before you book, in writing if possible. If the bill comes in higher than the quote, you have leverage.