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 |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield, CA | $108.64 | $9.02 – $25.91 |
| Jefferson Medical Center | Ranson, WV | $109.00 | not published |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $109.82 | $9.02 – $25.91 |
| MultiCare Capital Medical Center | Olympia, WA | $110.40 | $8.84 – $16.35 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $111.00 | $8.74 – $111.00 |
| Adventhealth Fish Memorial | Orange City, FL | $111.23 | $8.57 – $17.17 |
| West Virginia University Hospitals | Morgantown, WV | $111.50 | $5.86 – $38.21 |
| Chandler Regional Medical Center | Chandler, AZ | $112.03 | $5.06 – $30.31 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $112.32 | $13.28 – $156.00 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $112.70 | $9.02 – $32.47 |
| Baptist Health Floyd | New Albany, IN | $113.03 | $7.66 – $226.07 |
| Baptist Health Hardin | Elizabethtown, KY | $113.03 | $7.66 – $301.42 |
| Baptist Health Corbin | Corbin, KY | $113.03 | $7.66 – $301.42 |
| Baptist Health La Grange | La Grange, KY | $113.03 | $7.66 – $301.42 |
| Baptist Health Lexington | Lexington, KY | $113.03 | $7.66 – $306.39 |
| Baptist Health Louisville | Louisville, KY | $113.03 | $5.41 – $301.42 |
| Baptist Health Paducah | Paducah, KY | $113.03 | $7.66 – $301.42 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $113.06 | $7.66 – $218.40 |
| Mercy Hospital Pittsburg | Pittsburg, KS | $113.10 | $8.02 – $49.61 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $114.45 | $5.40 – $8.05 |
| Mercy Hospital Lincoln | Troy, MO | $115.05 | $7.98 – $20.30 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $116.00 | $42.41 – $111.60 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $116.35 | $6.87 – $52.77 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $116.90 | $9.02 – $24.07 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $117.00 | $9.02 – $16.78 |
| OSF Saint Anthony's Health Center | Alton, IL | $117.00 | $7.66 – $9.20 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $117.00 | $9.02 – $9.20 |
| OSF St Joseph Medical Center | Bloomington, IL | $117.00 | $9.02 – $9.20 |
| OSF St Mary Medical Center | Galesburg, IL | $117.00 | $9.02 – $9.20 |
| Mercy Medical Center Merced | Merced, CA | $117.94 | $6.38 – $20.68 |
| cleveland clinic florida weston hospital | Weston, FL | $118.30 | $3.79 – $123.00 |
| martin north hospital | Stuart, FL | $118.30 | $6.66 – $60.75 |
| indian river hospital | Vero Beach, FL | $118.30 | $6.33 – $64.80 |
| Northridge Hospital Medical Center | Northridge, CA | $118.58 | $9.02 – $425.00 |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | $118.80 | $9.02 – $9.20 |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $118.80 | $9.02 – $165.00 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $119.20 | $8.18 – $239.40 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $119.57 | $3.79 – $247.27 |
| MercyOne Centerville Medical Center | Centerville, IA | $121.00 | $33.20 – $121.00 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $121.10 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $121.10 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $121.10 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $121.10 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton, IL | $121.10 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $121.10 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $121.10 | not published |
| Northwestern Memorial Hospital | Chicago, IL | $121.10 | not published |
| UnityPoint Health - Meriter Hospital | Madison, WI | $121.18 | $5.41 – $52.17 |
| Springfield Medical Center | Springfield, OH | $121.20 | not published |
| Berkeley Medical Center | Martinsburg, WV | $121.50 | $8.53 – $14.25 |