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 |
|---|---|---|---|
| Harlan ARH Hospital | KY 40831, KY | $175.20 | $7.66 – $9.02 |
| Paintsville ARH Hospital | Paintsville, KY | $175.20 | $7.66 – $11.13 |
| UPMC Mercy | Pittsburgh, PA | $176.40 | $7.52 – $17.44 |
| San Martin Hospital | Las Vegas, NV | $177.33 | $5.68 – $47.61 |
| MUSC Health Florence Medical Center | Florence, SC | $183.50 | $5.17 – $9.92 |
| Beckley ARH Hospital | Beckley, WV | $185.40 | $8.12 – $45.09 |
| Hazard ARH Regional Medical Center | Hazard, KY | $185.40 | $7.66 – $9.02 |
| Methodist Charlton Medical Center | Dallas, TX | $188.00 | $7.20 – $31.02 |
| Methodist Dallas Medical Center | Dallas, TX | $188.00 | $7.20 – $41.01 |
| Methodist Mansfield Medical Center | Mansfield, TX | $188.00 | $7.20 – $32.39 |
| Methodist Midlothian Medical Center | Midlothian, TX | $188.00 | $7.20 – $31.02 |
| Methodist Richardson Medical Center | Richardson, TX | $188.00 | $7.20 – $31.02 |
| Methodist Celina Medical Center | Celina, TX | $188.00 | $8.34 – $22.55 |
| Methodist Southlake Medical Center | Souhtlake, TX | $188.00 | $5.29 – $39.01 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | $188.40 | $2.65 – $20.57 |
| Summers County ARH Hospital | Hinton, WV | $189.00 | $8.12 – $8.12 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $190.20 | $7.66 – $9.02 |
| St Anne Hospital | Toledo, OH | $190.80 | not published |
| Southside Regional Medical Center | Petersburg, VA | $194.40 | not published |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $195.65 | $5.77 – $67.04 |
| Emory Decatur Hospital | Decatur, GA | $196.00 | $6.77 – $19.12 |
| Emory Hillandale Hospital | Lithonia, GA | $196.00 | $6.77 – $19.12 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $196.00 | $12.32 – $12.32 |
| Emory Johns Creek Hospital | Johns Creek, GA | $196.00 | $6.77 – $19.12 |
| Emory Rehabilitation Hospital | Atlanta, GA | $196.00 | $6.77 – $13.53 |
| Emory Saint Joseph's Hospital | Atlanta, GA | $196.00 | $6.77 – $19.12 |
| Emory University Hospital | Ne, GA | $196.00 | $6.77 – $19.12 |
| Emory University Hospital Midtown | Atlanta, GA | $196.00 | $6.77 – $19.12 |
| Siena Hospital | Henderson, NV | $196.36 | $5.68 – $47.61 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $199.10 | $6.76 – $71.68 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $199.73 | $3.92 – $8.00 |
| Mercy Medical Center Redding | Redding, CA | $205.34 | $3.20 – $8.00 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | $205.80 | $8.93 – $9.47 |
| Lorain Hospital | Lorain, OH | $206.40 | not published |
| Woodland Memorial Hospital | Woodland, CA | $210.71 | $0.89 – $8.05 |
| Mercy San Juan Medical Center | Carmichael, CA | $210.71 | $0.89 – $19.97 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $215.38 | $9.02 – $20.02 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | $216.00 | $2.65 – $20.57 |
| Adventhealth Lake Wales | Lake Wales, FL | $218.74 | $9.02 – $20.02 |
| Methodist Hospital of Sacramento | Sacramento, CA | $221.48 | $2.82 – $19.97 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | $222.60 | $2.65 – $20.57 |
| St. Bernardine Medical Center | San Bernardino, CA | $223.45 | $5.72 – $56.75 |
| UPMC St. Margaret | Pittsburgh, PA | $226.20 | $7.79 – $17.60 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $228.15 | $8.12 – $32.40 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $237.60 | $2.65 – $20.57 |
| Adventhealth Hendersonville | Hendersonville, NC | $240.00 | $9.02 – $22.52 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $241.06 | $9.02 – $34.40 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $243.47 | $8.57 – $15.05 |
| Houston Methodist Hospital | Houston, TX | $245.50 | $9.02 – $37.52 |
| Texas Health Hospital Mansfield | Mansfield, TX | $246.99 | $9.02 – $40.09 |