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 |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE, TN | $15.75 | $4.06 – $19.66 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $15.75 | $4.51 – $19.66 |
| Holston Valley Medical Center | KINGSPORT, TN | $15.75 | $4.51 – $21.65 |
| Indian Path Community Hospital | KINGSPORT, TN | $15.75 | $4.51 – $21.65 |
| Johnson City Medical Center | JOHNSON CITY, TN | $15.75 | $4.51 – $19.66 |
| Johnston Memorial Hospital | ABINGDON, VA | $15.75 | $4.51 – $19.66 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $15.75 | $4.51 – $21.65 |
| Russell County Hospital | LEBANON, VA | $15.75 | $9.02 – $19.66 |
| Smyth County Community Hospital | MARION, VA | $15.75 | $9.02 – $19.66 |
| Banner Lassen Medical Center | Susanville, CA | $17.53 | $1.80 – $15.52 |
| Navos Multi-Treatment Center | Seattle, WA | $17.60 | not published |
| Banner Heart Hospital | Mesa, AZ | $17.81 | $9.02 – $49.50 |
| Claiborne Medical Center | Tazewell, TN | $18.20 | $4.06 – $58.50 |
| UPMC Chautauqua | Jamestown, NY | $21.60 | $8.00 – $32.40 |
| Sterling Regional Medical Center | Sterling, CO | $21.78 | $7.81 – $27.16 |
| MultiCare Auburn Medical Center | Auburn, WA | $22.00 | $8.73 – $17.68 |
| MultiCare Covington Medical Center | Covington, WA | $22.00 | $8.73 – $17.68 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $22.00 | $8.84 – $17.68 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $22.00 | $8.89 – $31.56 |
| MultiCare Allenmore Hospital | Tacoma, WA | $22.00 | $8.84 – $17.68 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $22.08 | $6.22 – $124.20 |
| Mercy Primary Care - Bernie | Bernie, MO | $23.25 | $3.79 – $19.57 |
| CHI St. Vincent Morrilton | Morrilton, AR | $23.69 | $6.80 – $29.24 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $23.96 | $9.02 – $49.50 |
| UPMC Western Maryland | Cumberland, MD | $24.00 | $40.00 – $40.00 |
| Braxton County Memorial Hospital | Gassaway, WV | $24.00 | not published |
| Southeastern Medical Center | Cambridge, OH | $24.70 | $9.02 – $9.38 |
| LeConte Medical Center | Sevierville, TN | $26.39 | $4.06 – $81.90 |
| Pen Bay Medical Center | Rockport, ME | $26.75 | $9.02 – $25.15 |
| Mid Coast Hospital | Brunswick, ME | $26.75 | $5.58 – $25.15 |
| Banner Baywood Medical Center | Mesa, AZ | $26.92 | $9.02 – $49.50 |
| Morristown-Hamblen Hospital Association | Morristown, TN | $27.30 | $4.06 – $81.90 |
| Abbott Northwestern Hospital | MN 55407, MN | $27.41 | $8.40 – $30.83 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $27.41 | $8.40 – $16.50 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $27.41 | $8.40 – $40.49 |
| Fairfield Hospital | Fairfield, OH | $27.60 | not published |
| Banner Wyoming Medical Center | Casper, WY | $27.72 | $7.56 – $26.88 |
| 39-3714515 BMH Oktibbeha County | STARKVILLE, MS | $28.80 | $3.79 – $18.94 |
| Cumberland Medical Center, Inc. | Crossville, TN | $29.12 | $4.06 – $81.90 |
| Allina Health Faribault Medical Center | Faribualt, MN | $29.23 | $8.40 – $51.01 |
| Buffalo Hospital | Buffalo, MN | $29.23 | $8.40 – $51.01 |
| Cambridge Medical Center | Cambridge, MN | $29.23 | $8.40 – $51.01 |
| River Falls Area Hospital | River Falls, MN | $29.23 | $8.40 – $111.49 |
| Owatonna Hospital | Owatonna, MN | $29.23 | $8.40 – $51.01 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | $29.40 | $5.23 – $19.12 |
| Roane County Medical Center | Harriman, TN | $30.03 | $4.06 – $81.90 |
| Fort Loudoun Medical Center | Lenoir City, TN | $30.03 | $4.06 – $81.90 |
| Fort Sanders Regional Medical Center | Knoxville, TN | $30.03 | $4.06 – $81.90 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $30.03 | $4.06 – $81.90 |
| Banner Payson Medical Center | Payson, AZ | $31.02 | $9.02 – $25.20 |