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 Harris Methodist Hospital Alliance | Fort Worth, TX | $296.10 | $7.58 – $37.31 |
| Texas Health Hospital Frisco | Frisco, TX | $296.10 | $7.58 – $37.31 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $296.10 | $7.58 – $37.31 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $296.10 | $7.58 – $37.31 |
| Mercy Hospital of Folsom | Folsom, CA | $299.15 | $0.89 – $19.97 |
| UPMC Muncy | Muncy, PA | $300.00 | $8.80 – $13.63 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $304.80 | $2.65 – $20.57 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | $304.80 | $2.65 – $20.57 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $304.80 | $2.65 – $20.57 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $304.80 | $2.65 – $20.57 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $304.80 | $2.65 – $20.57 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | $304.80 | $2.65 – $20.57 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | $307.20 | $2.65 – $20.57 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $330.14 | $6.00 – $19.30 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $345.00 | $8.38 – $17.60 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | $345.00 | $4.06 – $27.06 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $353.00 | $6.31 – $68.24 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $353.00 | $6.31 – $122.87 |
| Providence Alaska Medical Center | Anchorage, AK | $354.12 | $24.91 – $61.65 |
| UPMC Wellsboro | Wellsboro, PA | $362.40 | $8.00 – $13.63 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | $365.00 | $7.85 – $13.08 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | $366.00 | $4.06 – $27.06 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $368.50 | not published |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $368.50 | $9.02 – $37.52 |
| Houston Methodist West Hospital | Houston, TX | $368.50 | $9.02 – $37.52 |
| Houston Methodist Baytown Hospital | Baytown, TX | $368.50 | $9.02 – $37.52 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $368.50 | $9.02 – $37.52 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $368.50 | $9.02 – $17.59 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $368.50 | $9.02 – $37.52 |
| Houston Methodist Cypress Hospital | Cypress, TX | $368.50 | $9.02 – $37.52 |
| St. Joseph's Behavioral Health Center | Stockton, CA | $372.87 | $2.20 – $17.60 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | $373.89 | $8.53 – $19.92 |
| Petaluma Valley Hospital | Petaluma, CA | $374.85 | $8.84 – $73.59 |
| UPMC Hamot | Erie, PA | $379.80 | $8.00 – $17.44 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | $383.00 | $8.18 – $111.90 |
| MaineHealth - Memorial Hospital | North Conway, NH | $387.20 | $5.11 – $77.97 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $407.00 | $9.02 – $15.50 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | $408.00 | $8.18 – $112.05 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | $429.38 | $7.58 – $23.63 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH, TX | $429.38 | $9.02 – $23.63 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $440.34 | $7.58 – $36.24 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | $445.00 | $7.85 – $13.08 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | $446.04 | $7.58 – $34.86 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | $454.00 | $7.85 – $40.33 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | $454.00 | $7.85 – $38.70 |
| TRICITIES HOSPITAL | HOPEWELL, VA | $454.00 | $7.85 – $38.70 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | $455.76 | $8.95 – $36.45 |
| HORIZON MEDICAL CENTER | DICKSON, TN | $460.64 | $4.06 – $27.06 |
| Adventhealth Ocala | Ocala, FL | $471.65 | $9.02 – $20.02 |
| STONECREST MEDICAL CENTER | Smyrna, TN | $505.12 | $4.06 – $27.06 |