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 |
|---|---|---|---|
| Grant Medical Center | Columbus, OH | $57.20 | $9.02 – $33.83 |
| Doctors Hospital | Columbus, OH | $57.20 | $9.02 – $33.83 |
| ST HELENA HOSPITAL | Vallejo, CA | $57.30 | $0.71 – $104.13 |
| Parkwest Medical Center | Knoxville, TN | $57.33 | $2.00 – $81.90 |
| 64-0881013 MBMC Jackson | Jackson, MS | $57.75 | $5.29 – $25.26 |
| AdventHealth Deland | Deland, FL | $57.84 | $8.57 – $17.99 |
| Marion General Hospital | Marion, OH | $57.85 | $9.02 – $9.38 |
| Mercy Health Love County Rural Health Clinic | MARIETTA, OK | $58.00 | $3.79 – $16.95 |
| 64-0663760 BMH Booneville | Booneville, MS | $58.32 | $8.66 – $25.26 |
| SIERRA VISTA HOSPITAL, INC. | San Luis Obispo, CA | $59.13 | $5.00 – $16.24 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $59.40 | $9.02 – $37.17 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $59.40 | $9.02 – $37.17 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $59.40 | $9.02 – $37.17 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $59.40 | $9.02 – $37.17 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $59.40 | $9.02 – $37.17 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $59.40 | $9.02 – $37.17 |
| MUSC Health Black River Medical Center | Cades, SC | $59.50 | $5.17 – $23.76 |
| UPMC Jameson | New Castle, PA | $60.00 | $8.80 – $17.74 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $60.60 | $2.65 – $20.57 |
| Moanalua Medical Center | HONOLULU, HI | $60.75 | $9.00 – $9.00 |
| Sanford Canton Inwood Medical Center | Canton, SD | $60.80 | $25.99 – $68.40 |
| Adventhealth Dade City | Dade City, FL | $60.89 | $9.02 – $20.45 |
| Mansfield Hospital | Mansfield, OH | $61.10 | $9.02 – $9.38 |
| Shelby Hospital | Shelby, OH | $61.10 | not published |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | $61.33 | $9.02 – $85.28 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | $61.33 | $9.64 – $85.28 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $61.33 | $9.64 – $21.95 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | $61.33 | $9.64 – $14.04 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | $61.33 | $9.02 – $36.08 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | $61.33 | $9.02 – $24.87 |
| St Jude Medical Center | Fullerton, CA | $61.44 | $7.67 – $18.04 |
| Parkview Logansport Hospital | Logansport, IN | $61.75 | $9.02 – $19.00 |
| Arizona General Hospital Laveen | Phoenix, AZ | $61.83 | $5.41 – $220.59 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $62.65 | $6.49 – $179.00 |
| Baylor St Luke's Medical Center | Houston, TX | $62.65 | $6.49 – $179.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $62.65 | $6.49 – $179.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $62.65 | $6.49 – $179.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $62.65 | $6.49 – $179.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $62.85 | $7.58 – $89.78 |
| Sanford Vermillion Hospital | Vermillion, SD | $63.20 | $23.31 – $71.10 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | $63.60 | $2.65 – $29.77 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $63.84 | $8.12 – $41.04 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $63.84 | $8.12 – $42.39 |
| Swedish Issaquah | Issaquah, WA | $63.84 | $8.12 – $42.39 |
| Swedish Edmonds Hospital | Edmonds, WA | $63.84 | $9.02 – $40.59 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $63.84 | $8.74 – $129.20 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $63.84 | $8.74 – $129.20 |
| Lasting Hope Recovery Center | Omaha, NE | $63.84 | $8.74 – $129.20 |
| CHI Health Immanuel | Omaha, NE | $63.84 | $8.74 – $129.20 |
| CHI Health Lakeside | Omaha, NE | $63.84 | $8.74 – $129.20 |