Thyroid test

What the hospital lists

• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: CA SJH SENDOUT LAB - QUEST

  $4.34
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: CA SJH SENDOUT LAB - QUEST

  $4.34
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: CA SJH SENDOUT LAB - QUEST

  $4.34
• HC TSH REFLEX TO FT4

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: CA SJH SENDOUT LAB - QUEST

  $4.34
• HC TSH

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: CA SJH SENDOUT LAB - QUEST

  $52.50
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Outpatient · hospital charge

  Note from the file: Gross Charge Type: HCPV OUTPATIENT

  $106.08
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Outpatient · hospital charge

  Note from the file: Gross Charge Type: HCPV OUTPATIENT

  $106.08
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Outpatient · hospital charge

  Note from the file: Gross Charge Type: HCPV OUTPATIENT

  $106.08
• HC TSH

  Outpatient · hospital charge

  Note from the file: Gross Charge Type: HCPV OUTPATIENT

  $106.08
• HC TSH REFLEX TO FT4

  Outpatient · hospital charge

  Note from the file: Gross Charge Type: HCPV OUTPATIENT

  $106.08
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: HCPV LOCATION (Unit Price)

  $403.92
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: HCPV LOCATION (Unit Price)

  $403.92
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: HCPV LOCATION (Unit Price)

  $403.92
• HC TSH

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: HCPV LOCATION (Unit Price)

  $403.92
• HC TSH REFLEX TO FT4

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: HCPV LOCATION (Unit Price)

  $403.92

More than one price is listed. Ask the hospital which one applies to you.

Location and source

What the hospital lists

• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: CA SJH SENDOUT LAB - QUEST

  $4.34
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: CA SJH SENDOUT LAB - QUEST

  $4.34
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: CA SJH SENDOUT LAB - QUEST

  $4.34
• HC TSH REFLEX TO FT4

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: CA SJH SENDOUT LAB - QUEST

  $4.34
• HC TSH

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: CA SJH SENDOUT LAB - QUEST

  $52.50
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Outpatient · hospital charge

  Note from the file: Gross Charge Type: NSM OUTPATIENT

  $136.68
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Outpatient · hospital charge

  Note from the file: Gross Charge Type: NSM OUTPATIENT

  $136.68
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Outpatient · hospital charge

  Note from the file: Gross Charge Type: NSM OUTPATIENT

  $136.68
• HC TSH

  Outpatient · hospital charge

  Note from the file: Gross Charge Type: NSM OUTPATIENT

  $136.68
• HC TSH REFLEX TO FT4

  Outpatient · hospital charge

  Note from the file: Gross Charge Type: NSM OUTPATIENT

  $136.68
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: NSM LOCATION (Unit Price)

  $275.91
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: NSM LOCATION (Unit Price)

  $275.91
• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: NSM LOCATION (Unit Price)

  $275.91
• HC TSH

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: NSM LOCATION (Unit Price)

  $275.91
• HC TSH REFLEX TO FT4

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: NSM LOCATION (Unit Price)

  $275.91

More than one price is listed. Ask the hospital which one applies to you.

Location and source

What the hospital lists

• HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: HCHB LOCATION (Unit Price)

  $137.70
• HC TSH

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: HCHB LOCATION (Unit Price)

  $137.70
• HC TSH REFLEX TO FT4

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: HCHB LOCATION (Unit Price)

  $137.70

More than one price is listed. Ask the hospital which one applies to you.

Location and source

What the hospital lists

• ASSAY OF THYROID STIMULATING HORMONE TSH

  Inpatient or outpatient · billing class not stated

  $155.12

The file doesn’t say whether this covers the hospital’s charge only. Confirm what it includes.

Location and source

What the hospital lists

• Blood test, thyroid stimulating hormone (TSH)

  Outpatient · billing class not stated

  Note from the file: There were zero instances of the item or service in the 15 months prior to posting the file

  $280.00
• Blood test, thyroid stimulating hormone (TSH)

  Outpatient · billing class not stated

  Note from the file: Percent of Charges or Fee Sched - [Lesser Of] [HCPCS] ( 400.00*1 ) Term Line 701 | There were zero instances of the item or service in the 15 months prior to posting the file

  $280.00
• Blood test, thyroid stimulating hormone (TSH)

  Outpatient · billing class not stated

  Note from the file: Fee Schedule – % Lab Medicare Term Line 186 | There were zero instances of the item or service in the 15 months prior to posting the file

  $280.00
• Blood test, thyroid stimulating hormone (TSH)

  Outpatient · billing class not stated

  Note from the file: Fee Schedule – % Lab Medicare Term Line 230 | There were zero instances of the item or service in the 15 months prior to posting the file

  $280.00
• Blood test, thyroid stimulating hormone (TSH)

  Outpatient · billing class not stated

  Note from the file: There were zero instances of the item or service in the 15 months prior to posting the file

  $280.00
• Blood test, thyroid stimulating hormone (TSH)

  Outpatient · billing class not stated

  Note from the file: Fee Schedule – % Lab Medicare Term Line 198 | There were zero instances of the item or service in the 15 months prior to posting the file

  $280.00

More than one price is listed. Ask the hospital which one applies to you.

The file doesn’t say whether this covers the hospital’s charge only. Confirm what it includes.

Location and source