PSA test price in Bangkok
Cost of a PSA test at Bangkok private hospitals (2026):
- ▸Standalone PSA test: ฿400–฿900 at most Bangkok private hospitals
- ▸Total PSA only: ฿400–฿650 (standard screening; most packages include this)
- ▸Total + Free PSA ratio: ฿700–฿1,200 (helps distinguish benign prostate enlargement from cancer; recommended if Total PSA is elevated 4–10 ng/mL)
- ▸Bumrungrad International: approx ฿600–฿900
- ▸Samitivej Sukhumvit: approx ฿500–฿750
- ▸Bangkok Hospital: approx ฿450–฿700
- ▸BNH Hospital: approx ฿400–฿650
- ▸Included in men's health packages: most men's packages (฿5,000+) include PSA for patients 45+ years
- ▸Add-on to any package: ฿400–฿900 — ask at registration when booking; specify your age if under 45 (some hospitals have age-based inclusion rules)
Understanding your PSA results
PSA reference ranges and what they mean:
- ▸PSA is measured in ng/mL (nanograms per milliliter) — same unit worldwide
- ▸< 2.5 ng/mL (under 50 years): generally reassuring for men under 50
- ▸< 4.0 ng/mL (50–70 years): standard 'normal' range used at most Bangkok hospitals
- ▸4.0–10.0 ng/mL ('grey zone'): further evaluation usually recommended — Free PSA ratio, biopsy discussion with urologist
- ▸> 10.0 ng/mL: significant elevation — urologist referral and further investigation strongly recommended
- ▸Age-specific ranges are now standard: 2.5 ng/mL for 40–49, 3.5 ng/mL for 50–59, 4.5 ng/mL for 60–69, 6.5 ng/mL for 70+
- ▸Important: PSA is not prostate cancer specific. Benign prostatic hyperplasia (BPH), prostatitis (infection), and even vigorous cycling can temporarily elevate PSA
- ▸PSA velocity: a PSA that doubles within 12 months is more concerning than a single elevated reading — annual testing helps track this
- ▸Free PSA ratio: if Total PSA is 4–10, a Free/Total PSA ratio > 25% suggests BPH rather than cancer; < 10% suggests higher cancer risk
Who should get PSA testing in Bangkok and at what age
PSA screening recommendations used at Bangkok international hospitals:
- ▸Age 50+: baseline PSA recommended for average-risk men — standard recommendation from ACS, EAU
- ▸Age 45+ with family history (father, brother with prostate cancer before 65): begin screening earlier
- ▸Age 40+, African descent: higher baseline risk — most Bangkok hospitals offer PSA from 40 for this group
- ▸Men under 40: PSA testing not routine unless specific symptoms (urinary difficulty, pelvic pain, bone pain)
- ▸Annual vs every 2 years: if PSA < 1.0 ng/mL at baseline, many urologists say every 2–3 years is sufficient; if 1.0–2.5, annual is recommended
- ▸Men already diagnosed with BPH (enlarged prostate): annual PSA monitoring is standard
- ▸After prostate surgery/radiation: PSA is used to monitor for recurrence — very different reference ranges apply (PSA should be near zero)
- ▸Bangkok recommendation: most Bangkok internists include PSA in executive packages for men 45+ and in men's health packages from 40+ with risk factors
What happens if PSA is elevated in Bangkok
Next steps if your Bangkok PSA result comes back elevated:
- ▸The reviewing doctor at the hospital will explain your result during the physician consultation — included in check-up package cost
- ▸If PSA is in the 'grey zone' (4–10 ng/mL): Free PSA ratio can be done same day (additional ฿300–฿500); digital rectal exam (DRE) may be offered
- ▸Urologist referral: Bangkok private hospitals can refer you to a urologist same day or next day; Bumrungrad and Bangkok Hospital have dedicated urology departments
- ▸Repeat PSA: some doctors recommend retesting in 6–8 weeks to rule out temporary elevation from prostatitis or other benign causes
- ▸TRUS biopsy: if urologist recommends biopsy, this is done as a day procedure at Bangkok hospitals under local anesthetic (฿15,000–฿40,000 total); MRI-guided biopsy available at major centres
- ▸MRI of the prostate (mpMRI): increasingly used before biopsy to target suspicious areas; mpMRI cost ฿15,000–฿25,000 at Bangkok Hospital, Bumrungrad
- ▸For elevated PSA, staying in Bangkok for follow-up is practical — Bangkok has world-class urology and minimally invasive robotic prostatectomy