Anaemia and iron test prices in Bangkok (2026)
Diagnostic tests for anaemia and iron status at Bangkok private hospitals:
- ▸Complete blood count (CBC): included in all Bangkok health check-up packages; ฿400–฿800 standalone — provides haemoglobin, haematocrit, red blood cell count, MCV (red cell size), MCHC; the first-line anaemia screen
- ▸Serum ferritin: ฿300–฿700 — the most sensitive marker of iron stores; low ferritin = iron deficiency even before haemoglobin drops (pre-latent iron deficiency)
- ▸Serum iron: ฿200–฿500 — reduced in iron deficiency; also useful to check absorption if supplementing
- ▸TIBC (total iron-binding capacity): ฿200–฿500 — elevated in iron deficiency; transferrin saturation = serum iron ÷ TIBC × 100 (normal 20–50%)
- ▸Iron panel (serum iron + TIBC + ferritin): ฿600–฿1,200 — complete iron assessment; the preferred single order for iron deficiency workup
- ▸Reticulocyte count: ฿400–฿800 — measures new red blood cells; useful to assess bone marrow response and differentiate iron deficiency from anaemia of chronic disease
- ▸Peripheral blood smear: ฿400–฿800 — microscopic red cell examination; detects thalassaemia trait, spherocytes, schistocytes
- ▸Haemoglobin electrophoresis (for thalassaemia and haemoglobin variants): ฿800–฿1,500 — important in Southeast Asia where thalassaemia trait is very common (carrier rate 30–40% in Thailand)
- ▸Vitamin B12 + folate (macrocytic/megaloblastic anaemia): ฿600–฿1,500 each; important for vegetarians and vegans; B12 deficiency is the second most common nutritional cause of anaemia
- ▸Full anaemia workup (CBC + iron panel + B12 + folate + reticulocytes): ฿2,000–฿4,000
Understanding your anaemia result from Bangkok
How to interpret CBC and iron results from your Bangkok check-up:
- ▸Normal haemoglobin: men 13.5–17.5 g/dL; women 12.0–15.5 g/dL — Bangkok labs flag with L (low)
- ▸Mild anaemia: Hb 10.0–12.0 g/dL (women) or 10.0–13.5 g/dL (men) — most patients asymptomatic or mildly fatigued
- ▸Moderate anaemia: Hb 8.0–10.0 g/dL — fatigue, exertional shortness of breath, pallor
- ▸Severe anaemia: Hb <8.0 g/dL — significant symptoms; investigate urgently; transfusion considered at <7 g/dL
- ▸MCV (mean corpuscular volume) helps categorise: low MCV (<80 fL) = microcytic = iron deficiency, thalassaemia, lead poisoning; normal MCV (80–100 fL) = normocytic = chronic disease, early mixed deficiency; high MCV (>100 fL) = macrocytic = B12/folate deficiency, hypothyroidism, liver disease
- ▸Ferritin normal: men >30 ng/mL; women >13 ng/mL; optimal (non-deficient): >50 ng/mL; subclinical deficiency: 13–30 ng/mL; depleted stores: <13 ng/mL
- ▸Bangkok tip: thalassaemia trait is extremely common among Thais and other Asians (carriers have low-normal MCV and mildly low Hb without being iron-deficient); check haemoglobin electrophoresis to differentiate before iron supplementing unnecessarily
Anaemia treatment and iron supplement costs in Bangkok
Iron deficiency and anaemia treatment at Bangkok hospitals and pharmacies:
- ▸Ferrous sulphate 200mg (ferrous iron 65mg): ฿1–฿3 per tablet = ฿30–฿90/month — the standard first-line oral iron for iron deficiency anaemia
- ▸Ferrous gluconate (gentler on stomach — less elemental iron per tablet): ฿2–฿5 per tablet
- ▸Ferrous bisglycinate / chelated iron (better absorbed, fewer GI side effects): ฿5–฿20 per capsule; available at Watsons, Boots, hospital pharmacies
- ▸IV iron infusion (iron sucrose or ferric carboxymaltose — for rapid correction or oral intolerance): ฿2,000–฿5,000 per infusion at Bangkok private hospitals; same-day booking possible
- ▸Vitamin B12 injection (for severe B12 deficiency or malabsorption): ฿200–฿500 per injection at Bangkok hospitals or clinics
- ▸Folic acid 5mg (for folate deficiency or during pregnancy): ฿1–฿3 per tablet
- ▸Erythropoietin (EPO injection — for anaemia of chronic kidney disease): ฿1,500–฿4,000 per injection in Bangkok; 60–80% cheaper than in Western countries
- ▸Doctor consultation (haematologist or internist for anaemia): ฿1,500–฿3,000 same-day available at Bumrungrad, Samitivej
- ▸Bangkok advantage: generic iron supplements are extremely affordable — 30-day supply of ferrous sulphate costs ฿30–฿90 vs $15–$30 in the US