TSH Cost From Quest Diagnostics With and Without Insurance (2014 Update).

I've been talking levothyroxine for several years now.  Every so often I get my TSH checked to make sure my dosing is adequate.   I got my bill for my TSH and was shocked to see how much a TSH costs in 2012.     I reviewed  an old explanation of benefits form from  2009 and found  the cost of a TSH with and without insurance.

I have the same Blue Cross Blue Shield (BCBS) insurance today that I had in 2009.    How much did my TSH obtained at Quest Diagnostics cost in 2009?
Phlebotomy fee in 2009:  $16.30
TSH assay fee in 2009:  $97.95
Total fee by Quest Diagnostics:  $114.25
Total allowable charges paid by BCBS:  $24.92
Insurance discount of 78.2%
Fast forward to 2012.  How much does a TSH cost in 2012 from the same Quest Diagnostics?
Phlebotomy fee in 2012:  $19.00
TSH assay fee in 2012:  $116.00
Total fee by Quest Diagnostics:  $135.00
Total allowable charges paid by BCBS:  $18.64
Insurance discount of 86.2%
Fast forward to 2014.  I had my TSH checked in February, 2014.  My explanation of benefits says Lab One Inc.  However, I believe Quest purchased Lab One a few years ago. So how much does a TSH cost from Quest in 2014?

          Phlebotomy fee in 2014:  $20.55
          TSH assay fee in 2014:  $125.47
          Total fee by Quest Diagnostics:  $146.02
          Total allowable charges paid by BCBS:  $40.36
          Insurance discount of 72.4%

In five years from 2009 to 2014, Quest has increased their TSH price from $97.95 to $125.47.  That's a 28% increase.  Total fees increased from $114.25 to $146.02, a 27.8% increase.  Total allowable charges increased from $24.92 to $40.36, a 62% increase.  The insurance discount remained similar, at around 75%.   How much do you pay for your TSH with or without insurance?


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