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 |
|---|---|---|---|
| CHI Health Midlands | Papillion, NE | $63.84 | $8.74 – $129.20 |
| UPMC Cole | Coudersport, PA | $64.20 | $5.86 – $85.60 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $64.32 | $7.91 – $97.27 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $64.35 | $8.84 – $19.25 |
| Carrier Clinic | Belle Mead, NJ | $64.80 | not published |
| Van Wert Hospital | Van Wert, OH | $65.00 | $9.02 – $9.20 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $65.00 | $9.02 – $104.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $65.00 | $9.02 – $104.00 |
| Advocate Sherman Hospital | Elgin, IL | $65.00 | $9.02 – $117.00 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $65.00 | $9.02 – $126.62 |
| Advocate Trinity Hospital | Chicago, IL | $65.00 | $9.02 – $104.00 |
| Advocate Christ Medical Center | Oak Lawn, IL | $65.00 | $9.02 – $104.00 |
| Advocate Condell Medical Center | Libertyville, IL | $65.00 | $9.02 – $104.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $65.00 | $9.02 – $104.00 |
| St Elizabeth Youngstown Hospital | Youngstown, OH | $65.40 | not published |
| St Elizabeth Boardman Hospital | Youngstown, OH | $65.40 | not published |
| St Joseph Warren Hospital | Warren, OH | $65.40 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $65.66 | $7.66 – $167.44 |
| UPMC Magee | Pittsburgh, PA | $66.00 | $8.44 – $17.60 |
| Healdsburg Hospital | Healdsburg, CA | $66.30 | $9.02 – $42.07 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $66.40 | $42.58 – $74.70 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $66.47 | $9.02 – $16.47 |
| Arizona General Hospital Mesa | Mesa, AZ | $66.69 | $5.41 – $220.59 |
| St. Joseph's Hospital | Buckhannon, WV | $67.50 | not published |
| Childrens Specialized Hospital | Mountainside, NJ | $68.00 | $7.22 – $7.44 |
| Orange County Anaheim Medical Center | Anaheim, CA | $68.12 | $7.00 – $7.00 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $68.12 | $7.00 – $7.00 |
| Downey Medical Center | Downey, CA | $68.12 | $7.00 – $7.00 |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $68.12 | $7.00 – $7.00 |
| Riverside Medical Center | RIVERSIDE, CA | $68.12 | $7.00 – $7.00 |
| South Bay Medical Center | HARBOR CITY, CA | $68.12 | $7.00 – $7.00 |
| San Marcos Medical Center | SAN MARCOS, CA | $68.12 | $7.00 – $7.00 |
| West Los Angeles Medical Center | LOS ANGELES, CA | $68.12 | $7.00 – $7.00 |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $68.12 | $7.00 – $7.00 |
| Panorama Medical Center | PANORAMA CITY, CA | $68.12 | $7.00 – $7.00 |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $68.12 | $7.00 – $7.00 |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $68.12 | $7.00 – $7.00 |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $68.12 | $7.00 – $7.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $69.16 | $9.02 – $37.88 |
| Gouverneur Hospital | Gouverneur, NY | $70.33 | $8.75 – $117.32 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $70.60 | $8.57 – $19.70 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $70.74 | $0.71 – $53.25 |
| St. Michael Medical Center | Silverdale, WA | $70.93 | $9.02 – $144.64 |
| Parkview Huntington Hospital | Huntington, IN | $71.00 | $9.02 – $18.45 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | $71.00 | $9.02 – $18.45 |
| Parkview LaGrange Hospital | Lagrange, IN | $71.50 | $17.48 – $19.96 |
| Sanford Luverne Medical Center | Luverne, MN | $72.00 | $20.34 – $75.60 |
| Parkview DeKalb Hospital | Auburn, IN | $72.00 | $9.02 – $18.45 |
| AdventHealth Polk | Columbus, NC | $72.45 | not published |
| Parkview Noble Hospital | Kendallville, IN | $72.50 | $9.02 – $18.45 |