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 |
|---|---|---|---|
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $246.99 | $9.02 – $40.09 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | $247.00 | $8.93 – $122.49 |
| Rose de Lima Hospital | Henderson, NV | $247.39 | $5.68 – $47.61 |
| Adventhealth Wauchula | Wauchula, FL | $248.62 | not published |
| Adventhealth Durand | Durand, WI | $251.77 | not published |
| Adventhealth Rollins Brook | Lampasas, TX | $251.77 | $8.12 – $34.73 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | $252.60 | $2.65 – $20.57 |
| Adventhealth Tampa | Tampa, FL | $252.67 | $9.02 – $20.02 |
| Adventhealth Riverview | Riverview, FL | $252.67 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $252.67 | $9.02 – $20.02 |
| Adventhealth Zephyrhills | Zephyrhills, FL | $252.67 | $9.02 – $20.92 |
| Adventhealth Carrollwood | Tampa, FL | $252.67 | $9.02 – $20.02 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | $256.00 | $7.85 – $9.65 |
| Adventhealth Sebring | Sebring, FL | $256.19 | $9.25 – $20.50 |
| Adventhealth Murray | Po Box 1406, GA | $256.58 | $9.02 – $17.88 |
| Adventhealth Gordon | Calhoun, GA | $256.58 | $8.84 – $17.88 |
| Community Hospital San Bernardino | San Bernardino, CA | $256.89 | $4.40 – $56.75 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $259.02 | $4.62 – $22.00 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | $259.20 | $5.11 – $18.94 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | $259.20 | $5.11 – $18.94 |
| Kettering Health Dayton (Grandview) | Dayton, OH | $259.20 | $5.11 – $18.94 |
| Soin Medical Center | Beaver Creek, OH | $259.20 | $5.11 – $18.94 |
| Kettering Health Greene Memorial | Xenia, OH | $259.20 | $5.11 – $18.94 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $259.20 | $5.11 – $18.94 |
| Kettering Health Troy | Troy, OH | $259.20 | $5.11 – $18.94 |
| UPMC McKeesport | Mckeesport, PA | $265.20 | $8.36 – $17.60 |
| Southern Virginia Medical Center | Emporia, VA | $266.10 | not published |
| Adventhealth Central Texas | Killeen, TX | $267.31 | $8.12 – $34.73 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | $269.97 | $4.16 – $8.00 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | $272.00 | $6.92 – $9.65 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | $277.20 | $2.65 – $20.57 |
| Sequoia Hospital | Redwood City, CA | $278.83 | $4.84 – $31.39 |
| Adventhealth Connerton | Land O Lakes, FL | $279.76 | not published |
| Dominican Hospital | Santa Cruz, CA | $284.40 | $9.02 – $155.55 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Hospital Rockwall | Rockwall, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $284.70 | $7.58 – $37.31 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $284.70 | $9.02 – $37.31 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $284.70 | $7.58 – $37.31 |
| Adventhealth Manchester | Manchester, KY | $289.72 | $9.02 – $9.02 |