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 |
|---|---|---|---|
| Parkview Montpelier Hospital | Montpelier, OH | $43.50 | not published |
| Parkview Bryan Hospital | Bryan, OH | $43.50 | $9.02 – $27.06 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $43.83 | $5.77 – $67.04 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $43.83 | $5.77 – $67.04 |
| Platte County Hospital | Wheatland, WY | $43.89 | $13.44 – $27.16 |
| Providence Hood River Memorial Hospital | Hood River, OR | $44.25 | not published |
| 45-2896080 MBMC Leake | Carthage, MS | $45.00 | $9.02 – $12.51 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | $45.05 | $9.02 – $40.12 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | $45.05 | $9.02 – $40.12 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $45.05 | $9.02 – $40.12 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $45.43 | $3.26 – $99.12 |
| UPMC Community Osteopathic | Harrisburg, PA | $45.60 | $8.00 – $58.35 |
| UPMC Hanover | Hanover, PA | $45.60 | $8.00 – $14.43 |
| UPMC Lititz | Lititz, PA | $45.60 | $8.00 – $14.43 |
| UPMC Memorial | York, PA | $45.60 | $8.00 – $65.25 |
| UPMC Somerset | Somerset, PA | $45.60 | $8.00 – $11.12 |
| UPMC Carlisle | Carlisle, PA | $45.60 | $8.00 – $64.60 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $45.75 | $4.26 – $54.90 |
| University Hospitals Elyria Medical Center | Elyria, OH | $45.75 | $9.02 – $16.24 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $45.75 | $4.27 – $16.24 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $45.75 | $5.14 – $16.24 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $45.75 | $4.27 – $16.24 |
| Providence Newberg Medical Center | Newberg, OR | $45.75 | $8.88 – $16.51 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $45.75 | $4.27 – $16.24 |
| Providence Portland Medical Center | Portland, OR | $45.75 | $8.88 – $18.04 |
| Providence St Vincent Medical Center | Portland, OR | $45.75 | $8.88 – $18.04 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $45.75 | $8.88 – $18.04 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $45.75 | $4.27 – $16.24 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $45.75 | $4.27 – $54.90 |
| Providence Milwaukie Hospital | Milwaukie, OR | $45.75 | $8.88 – $18.04 |
| Banner Churchill Community Hospital | Fallon, NV | $45.79 | $17.16 – $63.36 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $45.80 | $7.91 – $121.57 |
| 62-1166050 BMH Carroll County | Huntingdon, TN | $46.00 | $7.85 – $18.04 |
| Southampton Medical Center | Franklin, VA | $46.20 | not published |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $46.30 | $8.70 – $307.54 |
| St. Clare Hospital | Lakewood, WA | $46.33 | $9.02 – $120.54 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $46.55 | $0.71 – $110.31 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $46.55 | $1.19 – $115.42 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $47.20 | $14.28 – $53.10 |
| Sanford Medical Center Mayville | Mayville, ND | $47.20 | $14.28 – $53.10 |
| Adventhealth Palm Coast | Palm Coast, FL | $47.59 | $8.57 – $19.27 |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $47.59 | $8.57 – $19.27 |
| Reynolds Memorial Hospital | Glen Dale, WV | $48.00 | $5.86 – $14.25 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $48.10 | $7.34 – $19.91 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $48.10 | $8.02 – $41.17 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $48.10 | $8.02 – $19.91 |
| Princeton Community Hospital | Princeton, WV | $48.50 | $8.00 – $52.54 |
| Covenant Hospital Levelland | Levelland, TX | $48.72 | $8.75 – $9.52 |
| St. Anthony Hospital | Gig Harbor, WA | $48.88 | $9.02 – $120.54 |
| St. Anne Hospital | Burien, WA | $49.08 | $9.02 – $144.64 |