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 |
|---|---|---|---|
| 62-1519754 BMH Golden Triangle | Columbus, MS | $39.25 | $8.66 – $25.26 |
| CASTLE MEDICAL CENTER | Kailua, HI | $39.36 | $8.84 – $171.50 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $39.51 | $5.77 – $67.04 |
| MultiCare Valley Hospital | Spokane Valley, WA | $39.60 | $8.53 – $16.35 |
| MultiCare Deaconess Hospital | Spokane, WA | $39.60 | $8.59 – $16.35 |
| 62-1138045 BMH Union City | Union City, TN | $40.00 | $7.85 – $18.04 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $40.00 | $8.27 – $16.96 |
| Corewell Health Taylor | Taylor, MI | $40.00 | $8.39 – $12.18 |
| Corewell Health Trenton | Trenton, MI | $40.00 | $8.35 – $12.18 |
| Corewell Health Troy | Troy, MI | $40.00 | $8.39 – $16.88 |
| Corewell Health Wayne | Wayne, MI | $40.00 | $8.25 – $12.18 |
| The Unity Hospital of Rochester | Rochester, NY | $40.15 | $7.85 – $11.64 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $40.28 | $9.02 – $49.50 |
| cleveland clinic main campus | Cleveland, OH | $40.30 | $1.10 – $55.80 |
| akron general | Akron, OH | $40.30 | $0.95 – $55.80 |
| avon hospital | Avon, OH | $40.30 | $0.95 – $55.80 |
| euclid hospital | Euclid, OH | $40.30 | $0.95 – $55.80 |
| fairview hospital | Cleveland, OH | $40.30 | $0.95 – $55.80 |
| lutheran hospital | Cleveland, OH | $40.30 | $0.95 – $55.80 |
| hillcrest hospital | Mayfield Heights, OH | $40.30 | $0.95 – $55.80 |
| lodi hospital | Lodi, OH | $40.30 | $5.33 – $55.80 |
| marymount hospital | Garfield Heights, OH | $40.30 | $0.95 – $55.80 |
| medina hospital | Medina, OH | $40.30 | $0.95 – $55.80 |
| mercy hospital | Canton, OH | $40.30 | $1.11 – $55.80 |
| south pointe hospital | Warrensville Heights, OH | $40.30 | $0.95 – $55.80 |
| Henry Ford Warren Hospital | Warren, MI | $40.32 | $8.57 – $18.06 |
| Ogallala Community Hospital | Ogallala, NE | $40.46 | $12.32 – $27.16 |
| Providence Medford Medical Center | Medford, OR | $40.50 | $7.22 – $18.04 |
| Community Hospital | Torrington, WY | $40.59 | $12.32 – $27.16 |
| East Morgan County Hospital | Brush, CO | $40.66 | $11.80 – $27.16 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $40.80 | $9.11 – $27.84 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $40.98 | $7.66 – $77.35 |
| 64-0844470 MBMC Yazoo | Yazoo City, MS | $41.00 | $9.02 – $12.51 |
| Emory Hospital Perry | Perry, GA | $41.00 | $6.77 – $19.12 |
| Emory Hospital Warner Robins | Warner Robins, GA | $41.00 | $6.77 – $19.12 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $41.25 | $4.27 – $59.00 |
| University Hospitals Geneva Medical Center | Geneva, OH | $41.25 | $4.27 – $69.00 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $41.25 | $9.02 – $13.42 |
| 64-0682111 BMH DeSoto | Southaven, MS | $41.40 | $8.57 – $25.26 |
| Banner Ocotillo Medical Center | Chandler, AZ | $41.55 | $9.02 – $49.50 |
| Providence Centralia Hospital | Centralia, WA | $41.60 | $9.02 – $56.19 |
| Providence St Peter Hospital | Olympia, WA | $41.60 | $7.67 – $50.51 |
| UPMC Northwest | Seneca, PA | $42.00 | $8.18 – $9.74 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $42.00 | $9.02 – $18.04 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $42.00 | $9.20 – $15.12 |
| Sentara RMH Medical Center | Harrisonburg, VA | $42.00 | $9.20 – $18.03 |
| CHI Health Nebraska Heart | Lincoln, NE | $42.32 | $8.74 – $75.44 |
| Washakie Medical Center | Worland, WY | $42.37 | $13.44 – $27.16 |
| Henry Ford Providence Novi Hospital | Novi, MI | $42.56 | $5.23 – $16.20 |
| 62-0123940 BMH Collierville | Collierville, TN | $43.47 | $8.57 – $18.04 |