How much does a thyroid-stimulating hormone (TSH) test cost in the US?

Across 1,276 hospitals that publish federally required price files, the median negotiated rate is $29.93, and the middle half of hospitals fall between $17.64 and $77. Self-pay cash prices have a median of $87 across the 1,022 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.

Why do Thyroid Test (TSH) prices vary so much?

Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 7.7 times what the cheapest tenth did, and state medians run from $12.76 in Nevada to $125 in Vermont.

Is the cash price cheaper than using insurance?

Sometimes. At 229 of the 1,022 hospitals that list a cash price (22%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.

All procedures / Thyroid Test (TSH)

Thyroid Test (TSH) Cost in the US (2026): What 1,276 Hospitals NegotiatedNPI VERIFIED

Across 1,276 US hospitals that publish federally required price files, the median negotiated rate for a thyroid-stimulating hormone (TSH) test is $29.93. The middle half of hospitals negotiated between $17.64 and $77; the priciest tenth negotiated more than $129, 7.7× the cheapest tenth (under $16.79). Hospitals that list a self-pay price ask a median of $87 (1,022 hospitals).

Code CPT 84443 · Source: hospital machine-readable files (45 CFR §180), file dates 2022-11-12 to 2026-09-28 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B · Data extracted 2026-10-06 · Page updated 2026-10-07

National median

$29.93

all plan types · 1,276 hospitals

Middle half

$17.64–$77

25th–75th percentile of hospitals

Median cash price

$87

self-pay · 1,022 hospitals list one

Medicare baseline

—

no OPPS rate for this service

1,276 hospitals, one bar per price band

median $29.93

$0$100$200

Each bar counts hospitals whose median rate falls in that price band; the last, dashed bar holds the 31 at $200 or more. The cheapest tenth negotiated under $16.79, the priciest tenth over $129 — 7.7× apart for the same procedure.

These are contract reference rates, not your bill. A median across hospitals is not a quote for your plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status.

Medicare pays lab tests from its Clinical Laboratory Fee Schedule, not the outpatient (OPPS) table we use as a baseline, so no Medicare multiple is shown.

Coverage: 1,276 of the 5,419 hospitals in the CMS roster have an identity-verified price file with this procedure in our data. It is not a random sample, and a hospital missing here has not been judged non-compliant — we may simply not have its file yet. 102 of these 1,276 hospital files were more than 12 months old at extraction — hospitals must update yearly; we keep the figures and say so rather than hide them.

By insurance type

Insurance type	Hospitals	Median	Middle half	× Medicare
Commercial (plan type not stated)	786	$70	$32.68 – $121	—
PPO	810	$73	$33.75 – $129	—
HMO	534	$55	$28.33 – $101	—
EPO	124	$71	$31.83 – $119	—
POS	74	$82	$32.69 – $145	—
ACA Marketplace	476	$30.49	$24.36 – $57	—
Medicare Advantage	728	$17.64	$16.80 – $50	—
Medicare (as listed)	714	$17.22	$16.80 – $18.89	—
Medicaid	825	$23.98	$16.80 – $53	—
Federal employees (FEP)	23	$85	$61 – $102	—
Workers' comp	138	$35.07	$23.48 – $85	—

Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.

By state

State	Hospitals	Median	Middle half	× Medicare	Median cash
Alabama	17	$16.79	$16.46 – $16.95	—	$49.40
Arizona	12	$17.64	$17.30 – $23.61	—	$30.89
Arkansas	15	$23.35	$18.21 – $42.18	—	$72
California	44	$21.34	$16.94 – $39.34	—	$45.00
Colorado	9	$45.90	$28.75 – $68	—	$63
Florida	47	$17.81	$17.64 – $18.90	—	$79
Georgia	33	$26.88	$20.92 – $30.69	—	$62
Hawaii	11	$36.96	$16.84 – $42.31	—	$87
Idaho	14	$62	$47.28 – $72	—	$85
Illinois	49	$40.00	$22.40 – $112	—	$135
Indiana	27	$25.20	$17.07 – $43.45	—	$79
Iowa	44	$53	$46.76 – $97	—	$89
Kansas	52	$54	$30.95 – $99	—	$74
Kentucky	52	$17.55	$16.80 – $54	—	$121
Louisiana	28	$22.52	$16.80 – $54	—	$57
Maine	10	$108	$34.55 – $148	—	$81
Maryland	10	$44.31	$40.15 – $48.57	—	$43.89
Massachusetts	9	$33.22	$25.20 – $48.84	—	$121
Michigan	32	$17.22	$16.38 – $22.08	—	$83
Minnesota	30	$61	$21.80 – $99	—	$107
Mississippi	22	$16.62	$15.12 – $17.52	—	$58
Missouri	31	$22.01	$16.48 – $38.49	—	$65
Montana	22	$93	$62 – $129	—	$100
Nebraska	34	$78	$24.36 – $114	—	$110
Nevada	9	$12.76	$12.76 – $52	—	$581
New Hampshire	6	$89	$68 – $109	—	$371
New Jersey	25	$16.80	$9.24 – $17.81	—	$19.32
New Mexico	18	$91	$21.55 – $206	—	$126
New York	38	$21.73	$16.85 – $31.68	—	$73
North Carolina	22	$21.64	$17.27 – $48.19	—	$84
North Dakota	13	$87	$48.14 – $122	—	$110
Ohio	58	$22.68	$17.92 – $38.22	—	$87
Oklahoma	37	$21.00	$15.64 – $62	—	$55
Oregon	24	$31.42	$24.90 – $51	—	$94
Pennsylvania	60	$31.94	$19.72 – $59	—	$90
Puerto Rico	12	$22.00	$21.69 – $22.52	—	$30.00
Rhode Island	5	$24.31	$21.14 – $30.33	—	$112
South Carolina	27	$17.64	$17.64 – $22.57	—	$140
South Dakota	12	$79	$55 – $87	—	$130
Tennessee	23	$17.64	$17.09 – $21.44	—	$52
Texas	109	$47.96	$22.93 – $93	—	$108
Utah	21	$84	$82 – $95	—	$88
Vermont	9	$125	$70 – $155	—	$181
Virginia	19	$23.00	$17.45 – $99	—	$98
Washington	20	$49.42	$30.29 – $108	—	$114
West Virginia	8	$91	$41.99 – $104	—	$107
Wisconsin	29	$42.00	$21.00 – $67	—	$79
Wyoming	10	$85	$54 – $105	—	$75

middle half of hospitalsstate median · a dotted end means the range runs past $200

States with at least 5 hospitals in our data (48 states). 3 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.

Get the data

Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.

Frequently asked questions

How much does a thyroid-stimulating hormone (TSH) test cost in the US?: Across 1,276 hospitals that publish federally required price files, the median negotiated rate is $29.93, and the middle half of hospitals fall between $17.64 and $77. Self-pay cash prices have a median of $87 across the 1,022 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.
Why do Thyroid Test (TSH) prices vary so much?: Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 7.7 times what the cheapest tenth did, and state medians run from $12.76 in Nevada to $125 in Vermont.
Is the cash price cheaper than using insurance?: Sometimes. At 229 of the 1,022 hospitals that list a cash price (22%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.

Other lab tests prices

CBC Blood Test

median $14.20 · 1,267 hospitals

Cholesterol Test (Lipid Panel)

median $24.74 · 1,276 hospitals

Comprehensive Metabolic Panel

median $21.12 · 1,276 hospitals

Urinalysis

median $4.58 · 1,227 hospitals

See all 30 procedures →