T4 (thyroxine) free cost at US hospitals
HC T4 (Thyroxine) Free · CPT 84439
$7.70
lowest cash price
$89.60
national median
$859.24
highest cash price
933
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $7.70–$859.24 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($26.75) → Sep 1, 2026 ($113.03)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $97.50 | $148.98 | $354.12 |
| Arizona | 24 | $10.92 | $33.92 | $125.40 |
| Arkansas | 11 | $23.69 | $51.35 | $130.00 |
| California | 91 | $17.53 | $102.48 | $631.89 |
| Colorado | 13 | $14.98 | $158.93 | $664.00 |
| Florida | 81 | $36.92 | $142.35 | $828.00 |
| Georgia | 25 | $41.00 | $137.67 | $537.22 |
| Hawaii | 2 | $39.36 | $39.36 | $60.75 |
| Illinois | 51 | $34.98 | $118.80 | $167.76 |
| Indiana | 26 | $60.60 | $132.00 | $307.20 |
| Iowa | 29 | $55.00 | $78.65 | $812.50 |
| Kansas | 11 | $36.40 | $163.17 | $510.03 |
| Kentucky | 22 | $40.98 | $113.03 | $289.72 |
| Louisiana | 1 | $53.56 | $53.56 | $53.56 |
| Maine | 7 | $26.75 | $95.80 | $156.35 |
| Maryland | 2 | $24.00 | $24.00 | $24.00 |
| Michigan | 27 | $12.45 | $37.00 | $132.80 |
| Minnesota | 18 | $27.41 | $29.23 | $160.80 |
| Mississippi | 11 | $7.70 | $39.25 | $58.32 |
| Missouri | 20 | $23.25 | $74.10 | $637.09 |
| Montana | 2 | $40.80 | $40.80 | $127.20 |
| Nebraska | 13 | $40.46 | $63.84 | $141.95 |
| Nevada | 4 | $45.79 | $177.33 | $247.39 |
| New Hampshire | 1 | $387.20 | $387.20 | $387.20 |
| New Jersey | 23 | $9.02 | $9.92 | $68.00 |
| New Mexico | 2 | $134.40 | $134.40 | $134.40 |
| New York | 23 | $9.02 | $9.02 | $353.00 |
| North Carolina | 15 | $72.45 | $150.93 | $240.00 |
| North Dakota | 4 | $47.20 | $47.20 | $47.20 |
| Ohio | 68 | $24.70 | $57.20 | $259.20 |
| Oklahoma | 18 | $41.25 | $61.33 | $330.14 |
| Oregon | 12 | $22.08 | $45.75 | $100.50 |
| Pennsylvania | 33 | $35.00 | $49.80 | $609.00 |
| South Carolina | 11 | $59.50 | $101.40 | $407.00 |
| South Dakota | 7 | $60.80 | $66.40 | $116.00 |
| Tennessee | 37 | $15.41 | $30.03 | $783.00 |
| Texas | 106 | $33.43 | $188.00 | $859.24 |
| Virginia | 43 | $15.41 | $85.20 | $573.91 |
| Washington | 33 | $17.60 | $53.23 | $112.70 |
| West Virginia | 18 | $24.00 | $67.50 | $189.00 |
| Wisconsin | 35 | $34.20 | $90.00 | $251.77 |
| Wyoming | 4 | $27.72 | $40.59 | $43.89 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Jackson General Hospital | Ripley, WV | $83.00 | not published |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $83.65 | $9.02 – $24.07 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $83.65 | $9.02 – $52.42 |
| Summersville Regional Medical Center | Summersville, WV | $84.00 | not published |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $84.15 | $9.02 – $17.57 |
| Morrow County Hospital | Mount Gilead, OH | $84.44 | $5.11 – $44.61 |
| St Mary's Hospital | Richmond, VA | $85.20 | not published |
| St Francis Medical Center | Midlothian, VA | $85.20 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $85.20 | not published |
| Richmond Community Hospital | Richmond, VA | $85.20 | not published |
| Providence St Mary Medical Center | Walla Walla, WA | $86.10 | $9.02 – $16.69 |
| Sanford Canby Medical Center | Canby, MN | $87.20 | $26.39 – $98.10 |
| WILLITS HOSPITAL INC | Willits, CA | $87.30 | $7.91 – $107.59 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $87.75 | $8.02 – $11.28 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $88.44 | $0.71 – $82.02 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | $88.51 | $8.75 – $16.16 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $89.60 | $38.47 – $100.80 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $89.60 | $38.47 – $100.80 |
| Aurora Baycare Medical Center | Green Bay, WI | $90.00 | $7.22 – $31.66 |
| Aurora Medical Center Bay Area | Marinette, WI | $90.00 | $7.22 – $31.66 |
| Aurora Medical Center Burlington | Burlington, WI | $90.00 | $7.22 – $31.66 |
| Aurora Medical Center Grafton | Grafton, WI | $90.00 | $7.22 – $31.66 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | $90.00 | $7.22 – $31.66 |
| Aurora Medical Center Kenosha | Kenosha, WI | $90.00 | $7.22 – $31.66 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $90.00 | $7.22 – $31.66 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $90.00 | $7.22 – $31.66 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | $90.00 | $7.22 – $31.66 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $90.00 | $7.22 – $31.66 |
| Aurora Medical Center Summit | Summit, WI | $90.00 | $7.22 – $31.66 |
| Aurora Medical Center Washington County | Hartford, WI | $90.00 | $7.22 – $31.66 |
| Aurora West Allis Medical Center | West Allis, WI | $90.00 | $7.22 – $31.66 |
| Mercy Hospital Watonga | Watonga, OK | $91.00 | $8.02 – $11.28 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $91.69 | $9.02 – $38.96 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $91.69 | $9.02 – $38.96 |
| Providence St Joseph Hospital | Chewelah, WA | $91.70 | not published |
| Central Medical Center | Seattle, WA | $92.00 | $7.00 – $7.00 |
| Sanford Sheldon Medical Center | Sheldon, IA | $93.60 | $33.06 – $104.40 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $94.05 | $5.77 – $67.04 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $94.05 | $5.77 – $67.04 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES, FL | $95.03 | $8.98 – $13.89 |
| Stephens Memorial Hospital | Norway, ME | $95.80 | $9.02 – $90.05 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown, KY | $95.89 | $7.66 – $205.66 |
| Mercy Hospital Logan County | Guthrie, OK | $96.20 | $8.02 – $79.37 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $96.41 | $7.66 – $218.40 |
| Jewish Hospital | Cincinnati, OH | $96.60 | not published |
| Anderson Hospital | Cincinnati, OH | $96.60 | not published |
| Clermont Hospital | Batavia, OH | $96.60 | not published |
| Kings Mills Hospital | Mason, OH | $96.60 | not published |
| Mercy West Hospital | Cincinnati, OH | $96.60 | not published |
| Marcum Wallace Hospital | Irvine, KY | $96.60 | not published |