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 |
|---|---|---|---|
| Corewell Health Lakeland Watervliet | Watervliet, MI | $97.00 | $9.02 – $13.53 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $97.00 | $9.02 – $53.28 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield, CA | $97.35 | $2.76 – $103.08 |
| Inova Alexandria Hospital | Alexandria, VA | $97.50 | $9.02 – $122.67 |
| Inova Fairfax Hospital | Falls Church, VA | $97.50 | $9.02 – $122.67 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $97.50 | $9.02 – $122.67 |
| Inova Loudoun Hospital | Leesburg, VA | $97.50 | $9.02 – $122.67 |
| Inova Mount Vernon Hospital | Alexandria, VA | $97.50 | $9.02 – $122.67 |
| St Elias Specialty Hospital | Anchorage, AK | $97.50 | $8.75 – $17.94 |
| Sentara Halifax Regional Hospital | South Boston, VA | $98.00 | $7.85 – $9.47 |
| Franklin Memorial Hospital | Farmington, ME | $99.80 | $9.02 – $93.81 |
| Providence Holy Family Hospital | Spokane, WA | $100.10 | $9.02 – $38.50 |
| Providence Seaside Hospital | Seaside, OR | $100.50 | not published |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $100.62 | $5.77 – $67.04 |
| Mercy Hospital Tishomingo | Tishomingo, OK | $101.40 | $8.02 – $11.28 |
| St Francis Downtown | Greenville, SC | $101.40 | not published |
| St Francis Eastside | Greenville, SC | $101.40 | not published |
| Mercy Hospital Healdton | Healdton, OK | $101.40 | $8.02 – $11.28 |
| Sanford Hospital Webster | Webster, SD | $101.60 | $39.88 – $114.30 |
| CHI Health St. Mary's | Nebraska City, NE | $102.09 | $6.43 – $28.80 |
| Redwood City Medical Center | Redwood City, CA | $102.48 | $8.00 – $8.00 |
| Oakland Medical Center | Oakland, CA | $102.48 | $8.00 – $8.00 |
| Sacramento Medical Center | SACRAMENTO, CA | $102.48 | $8.00 – $8.00 |
| San Leandro Medical Center | SAN LEANDRO, CA | $102.48 | $8.00 – $8.00 |
| Santa Clara Medical Center | SANTA CLARA, CA | $102.48 | $8.00 – $8.00 |
| San Rafael Medical Center | SAN RAFAEL, CA | $102.48 | $8.00 – $8.00 |
| Santa Rosa Medical Center | SANTA ROSA, CA | $102.48 | $8.00 – $8.00 |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $102.48 | $8.00 – $8.00 |
| South Sacramento Medical Center | SACRAMENTO, CA | $102.48 | $8.00 – $8.00 |
| Vacaville Medical Center | VACAVILLE, CA | $102.48 | $8.00 – $8.00 |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $102.48 | $8.00 – $8.00 |
| Vallejo Medical Center | VALLEJO, CA | $102.48 | $8.00 – $8.00 |
| Antioch Medical Center | ANTIOCH, CA | $102.48 | $8.00 – $8.00 |
| Fremont Medical Center | FREMONT, CA | $102.48 | $8.00 – $8.00 |
| Fresno Medical Center | FRESNO, CA | $102.48 | $8.00 – $8.00 |
| Roseville Medical Center | ROSEVILLE, CA | $102.48 | $8.00 – $8.00 |
| San Jose Medical Center | SAN JOSE, CA | $102.48 | $8.00 – $8.00 |
| San Francisco Medical Center | SAN FRANCISCO, CA | $102.48 | $8.00 – $8.00 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $102.83 | $5.06 – $27.79 |
| UPMC Williamsport | Williamsport, PA | $103.20 | $8.80 – $10.24 |
| Grant Memorial Hospital | Petersburg, WV | $103.20 | not published |
| Mercy Hospital Aurora | Aurora, MO | $104.00 | $8.85 – $12.50 |
| Trinity Medical Center East | Steubenville, OH | $104.15 | $4.45 – $134.00 |
| Mary Immaculate Hospital | Newport News, VA | $104.40 | not published |
| Maryview Hospital | Portsmouth, VA | $104.40 | not published |
| Harbour View Medical Center | Suffolk, VA | $104.40 | not published |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | $104.53 | $8.18 – $118.43 |
| MUSC Health Kershaw Medical Center | Camden, SC | $105.00 | $9.02 – $9.92 |
| Mercy Hospital Berryville | Berryville, AR | $105.30 | $8.02 – $41.17 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | $108.36 | $9.02 – $9.92 |