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TSH test (thyroid) in St. Louis, MO-IL costs $11 to $213. Here's every hospital's price.

18 hospitals in the St. Louis, MO-IL 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 St. Louis, MO-IL metro area, 18 hospitals list a cash price for tsh test (thyroid) (CPT 84443). The lowest is $11 at Hshs Holy Family Hospital INC, the median is $38 and the highest is $213 at Mercy Hospital St Louis. The most expensive hospital lists 20 times the cheapest for the same code.

The St. Louis, MO-IL median of $38 is 18% below the national median of $46 across 571 US hospitals with a cash price for this code.

17 of these hospitals also publish the rates they negotiated with insurers, from $1 to $261. 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 March 2026 and June 2026. 18 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.

$11
lowest cash price in St. Louis, MO-IL
Hshs Holy Family Hospital INC · 52 mi
$27 below the median
$38
median cash price
18 hospitals
20×
highest ÷ lowest
same procedure, same metro
18/36
hospitals with a cash price
18 don't · see who

Sorted by cash price

Hospital facility fee only
1
Hshs Holy Family Hospital INC

Greenville · 52 mi · File Mar 2026

$11
list $15 · lowest of 3 lines
2
St Josephs Hospital

Breese · 45 mi · File Mar 2026

$11
list $15 · lowest of 2 lines
3
Mercy Hospital Jefferson

Crystal City · 38 mi · File Jun 2026

$11
list $17 · lowest of 2 lines
4
Mercy Hospital Washington

Washington · 38 mi · File Jun 2026

$11
list $17 · lowest of 2 lines
5
Mercy Hospital Lincoln

Troy · 38 mi · File Jun 2026

$14
list $21 · lowest of 2 lines
6
Ranken Jordan Pediatric Bridge Hospital

Maryland Heights · 4 mi · File Apr 2026

$16
list $20 · lowest of 4 lines
7
Ssm Health Saint Louis University Hospital

Saint Louis · 10 mi · File Apr 2026

$26
list $47 · lowest of 2 lines
8
OSF Saint Anthony's Health Center

Alton · 15 mi · File Mar 2026

$31
list $52 · lowest of 4 lines
9
Ssm St Joseph Hospital West

Lake Saint Louis · 24 mi · File Apr 2026

$38
list $69 · lowest of 3 lines
10
Ssm St Joseph Health Center

Saint Charles · 8 mi · File Apr 2026

$39
list $71 · lowest of 3 lines
11
Ssm St Clare Health Center

Fenton · 16 mi · File Apr 2026

$39
list $71 · lowest of 3 lines
12
Ssm Health St Mary's Hospital - St Louis

Saint Louis · 8 mi · File Apr 2026

$39
list $71 · lowest of 3 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 St. Louis, MO-IL 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