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 |
|---|---|---|---|
| 82-3844150 BMH Crittenden | West Memphis, AR | $31.05 | $8.57 – $18.04 |
| Potomac Valley Hospital | Keyser, WV | $31.50 | not published |
| New Ulm Medical Center | MN 56073, MN | $31.58 | $8.40 – $78.49 |
| Banner Desert Medical Center | Mesa, AZ | $31.80 | $9.02 – $49.50 |
| United Hospital Center | Bridgeport, WV | $32.00 | $8.53 – $14.25 |
| Banner Boswell Medical Center | Sun City, AZ | $32.01 | $9.02 – $52.80 |
| Rochester General Hospital | Rochester, NY | $32.62 | $7.95 – $11.64 |
| Newark Wayne Community Hospital | Newark, NY | $32.62 | $7.76 – $14.07 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $32.62 | $6.01 – $20.25 |
| Banner Del Webb Medical Center | Sun City West, AZ | $32.65 | $9.02 – $52.80 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $33.43 | $8.12 – $162.35 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $33.43 | $8.12 – $171.90 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $33.43 | $8.12 – $171.90 |
| St. Joseph Health College Station Hospital | College Station, TX | $33.43 | $7.58 – $162.35 |
| Banner Estrella Medical Center | Phoenix, AZ | $33.50 | $9.02 – $49.50 |
| Banner Thunderbird Medical Center | Glendale, AZ | $33.50 | $9.02 – $49.50 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $33.92 | $9.02 – $49.50 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $34.20 | $9.02 – $34.82 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $34.20 | $9.02 – $34.82 |
| 81-3257997 BMH Calhoun | Calhoun City, MS | $34.84 | $9.02 – $12.51 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $34.98 | $6.77 – $38.14 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $35.00 | $8.00 – $37.25 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $35.00 | $8.00 – $40.12 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $35.00 | $8.40 – $59.52 |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $35.00 | $9.02 – $40.95 |
| WellSpan Evangelical Community Hospital | Lewisburg, PA | $35.00 | $8.80 – $52.42 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $35.00 | $8.00 – $40.95 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403, PA | $35.00 | $8.00 – $37.25 |
| TWIN CITIES COMMUNITY HOSPITAL | Templeton, CA | $35.14 | $5.00 – $16.24 |
| Banner Gateway Medical Center | Gilbert, AZ | $35.19 | $9.02 – $49.50 |
| Rappahannock General Hospital | Kilmarnock, VA | $35.40 | not published |
| 64-0772726 BMH North Mississippi | Oxford, MS | $36.34 | $8.66 – $25.26 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | $36.40 | $9.02 – $81.90 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $36.68 | $9.02 – $49.50 |
| Virginia Mason Medical Center | Seattle, WA | $36.72 | $6.31 – $28.19 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $36.92 | $9.02 – $34.40 |
| Corewell Health Pennock | Hastings, MI | $37.00 | $8.57 – $11.52 |
| Corewell Health Big Rapids | Big Rapids, MI | $37.00 | $8.12 – $16.24 |
| Corewell Health Gerber | Fremont, MI | $37.00 | $8.57 – $11.52 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $37.00 | $8.57 – $16.24 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $37.00 | $8.57 – $16.24 |
| Corewell Health Reed City | Po Box 75, MI | $37.00 | $8.57 – $11.52 |
| Corewell Health Greenville | Greenville, MI | $37.00 | $8.57 – $16.24 |
| Corewell Health Zeeland | Zeeland, MI | $37.00 | $8.12 – $16.24 |
| Banner Page Hospital | Page, AZ | $37.03 | $9.02 – $26.60 |
| Henry Ford River District Hospital | China Township, MI | $37.20 | $8.57 – $18.06 |
| Sunnyside Medical Center | CLACKAMAS, OR | $37.40 | $11.00 – $11.00 |
| Westside Medical Center | HILLSBORO, OR | $37.40 | $11.00 – $11.00 |
| CHI St. Vincent North | Sherwood, AR | $37.63 | $6.80 – $29.24 |
| Henry Ford St John Hospital | Detroit, MI | $38.08 | $7.35 – $18.06 |