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 |
|---|---|---|---|
| Barbourville ARH Hospital | Barbourville, KY | $135.00 | $9.02 – $9.02 |
| St. John's Camarillo Hospital | Camarillo, CA | $135.35 | $2.16 – $23.92 |
| UPMC East | Monroeville, PA | $136.20 | $8.00 – $181.60 |
| Massena Hospital | Massena, NY | $136.24 | $9.02 – $69.61 |
| OSF Saint Anthony Medical Center | Rockford, IL | $137.40 | $9.02 – $31.57 |
| OSF Saint Francis Medical Center | Peoria, IL | $137.40 | $9.02 – $19.21 |
| OSF Healthcare Divine Mercy Continuing Care Hospital | Peoria, IL | $137.40 | not published |
| Wellstar Cobb Hospital | Austell, GA | $137.67 | $9.02 – $16.69 |
| Wellstar Douglas Hospital | Douglasville, GA | $137.67 | $9.02 – $16.69 |
| Wellstar Kennestone Hospital | Marietta, GA | $137.67 | $9.02 – $16.69 |
| Wellstar MCG Health | Augusta, GA | $137.67 | $9.02 – $27.77 |
| Wellstar North Fulton Hospital | Roswell, GA | $137.67 | $9.02 – $16.69 |
| Wellstar Paulding Hospital | Hiram, GA | $137.67 | $9.02 – $16.69 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $137.67 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $137.67 | $9.02 – $17.68 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $137.67 | $15.80 – $31.21 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $137.67 | $9.02 – $17.68 |
| Wellstar Windy Hill Hospital | Marietta, GA | $137.67 | $9.02 – $17.68 |
| California Hospital Medical Center | Los Angeles, CA | $138.23 | $9.02 – $225.15 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | $138.60 | $6.76 – $73.31 |
| CHI Health Plainview | Plainview, NE | $140.28 | $9.02 – $26.46 |
| French Hospital | San Luis Obispo, CA | $140.34 | $2.16 – $27.31 |
| Providence Saint John's Health Center | Santa Monica, CA | $140.35 | $9.02 – $27.97 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $140.76 | $9.02 – $105.46 |
| HSHS St. Joseph's Hospital | Breese, IL | $141.12 | $9.02 – $143.00 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $141.12 | $18.04 – $190.00 |
| CHI Health Schuyler | Schuyler, NE | $141.95 | $5.79 – $26.46 |
| St Ritas Medical Center | Lima, OH | $142.20 | not published |
| Baptist Hospital | MIAMI, FL | $142.35 | $5.94 – $197.10 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $142.35 | $6.93 – $197.10 |
| Doctors Hospital | CORAL GABLES, FL | $142.35 | $6.72 – $197.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $142.35 | $6.72 – $197.10 |
| Fishermens Community Hospital | MARATHON, FL | $142.35 | $6.72 – $197.10 |
| Homestead Hospital | HOMESTEAD, FL | $142.35 | $5.94 – $197.10 |
| Mariners Hospital | TAVERNIER, FL | $142.35 | $6.72 – $197.10 |
| West Kendall Baptist Hospital | MIAMI, FL | $142.35 | $6.72 – $197.10 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $142.78 | $2.56 – $16.24 |
| Adventhealth Waterman | Tavares, FL | $142.84 | $9.02 – $18.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $144.14 | $7.58 – $41.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $144.14 | $7.58 – $49.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $144.14 | $7.58 – $49.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $144.14 | $10.45 – $44.00 |
| Redwood Memorial Hospital | Fortuna, CA | $145.35 | $105.70 – $105.70 |
| Providence Seward Hospital | Seward, AK | $148.98 | not published |
| Atrium Health Anson | Wadesboro, NC | $150.93 | $8.66 – $286.76 |
| Atrium Health Mercy | Charlotte, NC | $150.93 | $8.66 – $277.70 |
| Atrium Health Pineville | Charlotte, NC | $150.93 | $8.66 – $277.70 |
| Atrium Health Stanly | Albermarle, NC | $150.93 | $9.15 – $289.78 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $150.93 | $11.24 – $265.63 |
| Atrium Health Cleveland | Shelby, NC | $150.93 | $8.66 – $286.76 |