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 |
|---|---|---|---|
| MENORAH MEDICAL CENTER | Overland Park, KS | $510.03 | $4.86 – $19.92 |
| AdventHealth Orlando | Orlando, FL | $534.00 | $9.02 – $23.90 |
| Adventhealth Redmond | Rome, GA | $537.22 | $7.40 – $25.08 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | $537.40 | $5.41 – $34.86 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | $558.25 | $8.93 – $128.25 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | $563.44 | $6.92 – $51.16 |
| MercyOne Clinton Medical Center | Clinton, IA | $564.85 | $8.74 – $137.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | $571.00 | $7.22 – $116.66 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | $571.99 | $5.41 – $34.86 |
| RESTON HOSPITAL CENTER | VIENNA, VA | $573.91 | $9.02 – $51.16 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | $596.49 | $4.86 – $19.92 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | $596.49 | $4.86 – $19.92 |
| UPMC Presbyterian | Pittsburgh, PA | $609.00 | $8.00 – $17.60 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | $615.58 | $5.41 – $34.86 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | $618.62 | $5.41 – $34.86 |
| Queen of The Valley Medical Center | Napa, CA | $631.89 | $9.02 – $93.00 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | $637.09 | $4.86 – $19.92 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | $639.07 | $7.58 – $37.63 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | $644.34 | $5.41 – $36.24 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER, CO | $664.00 | $4.10 – $22.10 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | $724.32 | $4.06 – $27.06 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | $725.00 | $9.02 – $108.69 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $738.00 | $9.09 – $121.00 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | $741.00 | $7.58 – $45.96 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | $771.18 | $7.43 – $37.63 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | $775.00 | $8.93 – $127.21 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | $783.00 | $4.06 – $27.06 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | $789.15 | $8.18 – $118.43 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | $792.00 | $8.93 – $128.25 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $812.50 | $8.74 – $119.00 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | $821.23 | $8.18 – $110.20 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | $828.00 | $8.18 – $121.58 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | $859.24 | $5.41 – $34.86 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $4.86 – $19.92 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $8.93 – $128.25 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $8.18 – $114.72 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $8.18 – $118.43 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $8.18 – $116.85 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $8.18 – $118.43 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $8.18 – $118.43 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $8.98 – $121.56 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $8.18 – $118.43 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $8.18 – $118.43 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $8.18 – $113.18 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $8.18 – $120.46 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $8.18 – $116.85 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $8.18 – $120.46 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $7.22 – $116.66 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $8.18 – $118.43 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $8.93 – $128.25 |