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 |
|---|---|---|---|
| UPMC Kane | Kane, PA | $49.20 | $8.80 – $38.93 |
| UPMC Bedford | Everett, PA | $49.80 | $3.25 – $74.70 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $50.16 | $9.47 – $34.82 |
| St. Francis Hospital | Federal Way, WA | $50.44 | $9.02 – $120.54 |
| Ascension Providence | Waco, TX | $50.94 | $5.77 – $39.78 |
| Mercy Hospital Ozark | River Ozark, AR | $51.35 | $8.02 – $41.17 |
| Mercy Hospital Paris | Academy Paris, AR | $51.35 | $8.02 – $41.17 |
| Mercy Hospital Waldron | Waldron, AR | $51.35 | $8.02 – $41.17 |
| Mercy Hospital Boonville | Booneville, AR | $51.35 | $8.02 – $41.17 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $51.70 | $8.12 – $16.24 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $52.10 | $9.02 – $21.65 |
| CHI Memorial Hospital Hixson | Hixson, TN | $52.10 | $8.01 – $123.20 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $52.40 | $9.33 – $16.19 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $52.50 | $9.02 – $14.61 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $52.50 | $8.83 – $14.61 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $52.50 | $8.83 – $14.61 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $52.50 | $9.02 – $14.61 |
| St. Joseph Medical Center | Tacoma, WA | $53.23 | $9.02 – $120.54 |
| Covenant Hospital Plainview | Plainview, TX | $53.34 | $8.75 – $9.52 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | $53.56 | $8.84 – $54.37 |
| Camden Clark Medical Center | Parkersburg, WV | $54.00 | $8.53 – $14.25 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $54.12 | $9.02 – $20.30 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $54.12 | $9.02 – $20.30 |
| HSHS St. Vincent Hospital | Green Bay, WI | $54.12 | $9.02 – $20.30 |
| Thomas Hospitals | South Charleston, WV | $54.50 | $8.53 – $45.65 |
| Providence St Joseph Hospital Orange | Orange, CA | $54.72 | $7.67 – $18.04 |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $54.75 | $5.75 – $38.89 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $54.75 | $5.06 – $38.89 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $54.75 | $4.14 – $38.89 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $55.00 | $5.41 – $36.23 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $55.00 | $3.50 – $55.00 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $55.00 | $5.41 – $27.71 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $55.00 | $5.41 – $20.21 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $55.00 | $5.41 – $60.98 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $55.00 | $5.41 – $33.00 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $55.00 | $5.41 – $44.69 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $55.00 | $5.41 – $26.95 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $55.00 | $3.50 – $30.32 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $55.00 | $3.50 – $28.19 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $55.00 | $5.41 – $58.44 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $55.00 | $5.41 – $25.78 |
| Grady Memorial Hospital | Delaware, OH | $55.90 | $9.02 – $9.38 |
| Berger Hospital | Circleville, OH | $55.90 | $9.02 – $9.02 |
| Glendale Memorial Hospital Health Center | Glendale, CA | $56.08 | $4.40 – $22.00 |
| UPMC Horizon-Greenville | Greenville, PA | $56.40 | $8.00 – $16.93 |
| St. Elizabeth Hospital | Enumclaw, WA | $56.79 | $9.02 – $144.64 |
| Weirton Medical Center | Weirton, WV | $57.00 | $8.00 – $45.91 |
| O'Bleness Hospital | Athens, OH | $57.20 | $9.02 – $9.11 |
| Riverside Methodist Hospital | Columbus, OH | $57.20 | $9.02 – $33.83 |
| Dublin Methodist Hospital | Dublin, OH | $57.20 | $9.02 – $33.83 |