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 |
|---|---|---|---|
| Atrium Health Cabarrus | Concord, NC | $150.93 | $8.66 – $286.76 |
| Atrium Health Lincoln | Lincolnton, NC | $150.93 | $8.66 – $286.76 |
| Atrium Health Union | Monroe, NC | $150.93 | $8.66 – $286.76 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $150.93 | $8.66 – $277.70 |
| Atrium Health University City | Charlotte, NC | $150.93 | $8.66 – $277.70 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $150.93 | $8.66 – $271.67 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $151.20 | $14.28 – $30.66 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $151.20 | $10.37 – $19.74 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $151.20 | $9.02 – $9.02 |
| NewYork-Presbyterian Queens | Flushing, NY | $152.00 | $6.31 – $68.69 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $152.10 | not published |
| Arroyo Grande Hospital | Santa Maria, CA | $153.23 | $4.00 – $23.23 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $156.00 | $9.02 – $9.20 |
| Covenant Specialty Hospital | Lubbock, TX | $156.24 | not published |
| Covenant Medical Center | Lubbock, TX | $156.24 | $9.02 – $39.33 |
| Covenant Children's Hospital | Lubbock, TX | $156.24 | $19.70 – $39.33 |
| Waldo County General Hospital | Belfast, ME | $156.35 | $9.02 – $147.28 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $156.86 | $9.02 – $34.40 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $157.59 | $8.84 – $79.12 |
| AdventHealth Parker | Parker, CO | $158.93 | $8.84 – $16.69 |
| AdventHealth Littleton | Littleton, CO | $158.93 | $8.84 – $16.69 |
| AdventHealth Porter | Denver, CO | $158.93 | $8.84 – $16.69 |
| AdventHealth Avista | Louisville, CO | $158.93 | $8.84 – $16.69 |
| AdventHealth Castle Rock | Castle Rock, CO | $158.93 | $8.84 – $16.69 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $159.00 | not published |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $159.12 | $9.02 – $221.00 |
| Sanford Westbrook Hospital | Westbrook, MN | $160.80 | $28.08 – $104.40 |
| Sanford Tracy Hospital | Tracy, MN | $160.80 | $28.08 – $104.40 |
| Willard Hospital | Willard, OH | $160.80 | not published |
| Ascension Saint Thomas Highlands | Sparta, TN | $161.18 | $6.33 – $35.01 |
| Ascension Saint Thomas DeKalb | Smithville, TN | $161.18 | $6.33 – $35.01 |
| Ascension Saint Thomas River Park | McMinnville, TN | $161.18 | $6.33 – $35.01 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $161.18 | $8.12 – $35.01 |
| Ascension Saint Thomas Midtown | Nashville, TN | $161.18 | $3.25 – $35.01 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $161.70 | $9.02 – $9.47 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $161.70 | $9.02 – $9.47 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $163.17 | $3.79 – $26.16 |
| Adventhealth South Overland Park | Overland Park, KS | $163.17 | $3.79 – $26.16 |
| Adventhealth Ottawa | Ottawa, KS | $163.17 | $3.79 – $32.06 |
| Middlesboro ARH Hospital | Middlesboro, KY | $163.80 | $7.66 – $9.02 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | $165.55 | $6.76 – $89.62 |
| Barnesville Hospital | Barnesville, OH | $167.00 | $4.45 – $4.45 |
| HSHS Holy Family Hospital | GREENVILLE, IL | $167.04 | $9.02 – $22.55 |
| Mercy General Hospital | Sacramento, CA | $167.65 | $2.82 – $19.97 |
| HSHS St. Mary's Hospital | DECATUR, IL | $167.76 | $9.02 – $233.00 |
| Whitesburg ARH Hospital | Whitesburg, KY | $169.20 | $7.66 – $9.02 |
| Allen Hospital | Oberlin, OH | $169.80 | not published |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $171.69 | $5.77 – $214.62 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $172.89 | $7.91 – $109.36 |
| Mercy Hospital Stoddard | Dexter, MO | $174.20 | $8.12 – $31.57 |