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TSH test (thyroid) in San Antonio, TX costs $50 to $195. Here's every hospital's price.

3 hospitals in the San Antonio-New Braunfels, TX metro area publish a cash price for tsh test (thyroid) (CPT 84443). We read their files every month so you don't have to.

Across the San Antonio-New Braunfels, TX metro area, 3 hospitals list a cash price for tsh test (thyroid) (CPT 84443). The lowest is $50 at Guadalupe Regional Medical Center, the median is $126 and the highest is $195 at South Texas Spine and Surgical Hospital. The most expensive hospital lists 3.9 times the cheapest for the same code.

The San Antonio, TX median of $126 is 172% above the national median of $46 across 581 US hospitals with a cash price for this code.

3 of these hospitals also publish the rates they negotiated with insurers, from $6 to $1,026. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between February 2026 and May 2026. 16 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$50
lowest cash price in San Antonio, TX
Guadalupe Regional Medical Center · 41 mi
$76 below the median
$126
median cash price
3 hospitals
3.9×
highest ÷ lowest
same procedure, same metro
3/19
hospitals with a cash price
16 don't · see who

Sorted by cash price

Hospital facility fee only
1
Guadalupe Regional Medical Center

Seguin · 41 mi · File May 2026

$50
list $100 · lowest of 2 lines
2
Legent Orthopedic + Spine

San Antonio · 9 mi · File Mar 2026

$126
list $251 · lowest of 2 lines
3
South Texas Spine and Surgical Hospital

San Antonio · 15 mi · File Feb 2026

$195
list $195 · lowest of 2 lines
1

What's in the price

The hospital facility fee for CPT 84443. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 84443, in writing, and whether it covers facility, physician and anesthesia."

About tsh test (thyroid)

CPT 84443 measures thyroid-stimulating hormone, the standard first test for an underactive or overactive thyroid. It is ordered for fatigue, weight change, palpitations, hair loss and to monitor thyroid medication. One blood draw, results in a day.

What the price covers

The laboratory analysis only. The blood draw is a separate small charge. If TSH is abnormal, follow-up tests (free T4, T3) are separate codes.

Why prices vary

TSH runs on the same automated analyzers as any chemistry test and costs a laboratory very little. Hospital list prices range from under $20 to several hundred dollars, and hospital cash prices are commonly ten times what an independent laboratory charges.

Questions to ask

  • What is the self-pay price for 84443 and the draw fee?
  • Will free T4 be added automatically if TSH is abnormal, and what does it cost?
  • Can this be done at an outside laboratory?

Hospitals in San Antonio, TX without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask