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 |
|---|---|---|---|
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $72.93 | $4.51 – $35.49 |
| Parkview Wabash Hospital | Wabash, IN | $73.00 | $17.48 – $19.96 |
| St. Mary Medical Center | Long Beach, CA | $73.10 | $5.00 – $56.75 |
| CHI Health Good Samaritan | Kearney, NE | $73.20 | $8.74 – $111.60 |
| CHI Health St. Elizabeth | Lincoln, NE | $73.50 | $8.74 – $117.60 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $73.67 | $7.66 – $182.91 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $73.80 | $10.76 – $67.16 |
| Love County Health Center | Marietta, OK | $74.00 | $8.02 – $11.28 |
| Mercy Hospital Carthage | Carthage, MO | $74.10 | $8.02 – $33.40 |
| Hardin Memorial Hospital | Kenton, OH | $74.10 | not published |
| MercyOne Waterloo Medical Center | Waterloo, IA | $74.10 | $8.74 – $114.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $74.10 | $8.74 – $114.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $74.45 | $8.01 – $123.20 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | $74.50 | $9.02 – $18.45 |
| Parkview Ortho Hospital | Fort Wayne, IN | $74.50 | $9.02 – $18.45 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $74.52 | $3.08 – $100.47 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $74.55 | $7.20 – $159.75 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $76.38 | $2.78 – $91.93 |
| SSM Health Monroe Hospital | Monroe, WI | $76.45 | $9.02 – $15.79 |
| 26-1214372 NEA Baptist | Jonesboro, AR | $76.76 | $5.21 – $18.04 |
| Sentara Leigh Hospital | Norfolk, VA | $77.50 | $9.02 – $66.65 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $77.50 | $9.02 – $66.65 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $77.50 | $9.02 – $66.65 |
| Sentara Obici Hospital | Suffolk, VA | $77.50 | $9.02 – $66.65 |
| Sentara CarePlex Hospital | Hampton, VA | $77.50 | $9.02 – $9.47 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $77.50 | $7.90 – $47.24 |
| Sentara Norfolk General Hospital | Norfolk, VA | $77.50 | $9.02 – $66.65 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $78.00 | $9.02 – $16.24 |
| Providence Mount Carmel Hospital | Colville, WA | $78.40 | not published |
| Kadlec Regional Medical Center | Richland, WA | $78.40 | $9.02 – $35.27 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $78.65 | $47.90 – $121.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $78.65 | $45.74 – $136.20 |
| MercyOne Elkader Medical Center | Elkader, IA | $78.65 | $62.28 – $126.47 |
| MercyOne Newton Medical Center | Newton, IA | $78.65 | $8.74 – $121.00 |
| Canton-Potsdam Hospital | Potsdam, NY | $79.06 | $8.12 – $85.43 |
| Wetzel County Hospital | New Martinsville, WV | $79.50 | $8.53 – $14.25 |
| CHI Health St. Francis | Grand Island, NE | $79.65 | $8.74 – $126.90 |
| Tiffin Hospital | Tiffin, OH | $79.80 | not published |
| CHI Health Mercy Corning | Corning, IA | $80.16 | $9.02 – $26.46 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $80.16 | $7.67 – $18.04 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $80.64 | $0.71 – $105.38 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $81.40 | $6.76 – $17.41 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $81.40 | $9.02 – $18.24 |
| SSM Health Ripon Community Hospital | Ripon, WI | $81.40 | $9.02 – $18.24 |
| Sanford Wheaton | Wheaton, MN | $81.60 | $24.69 – $91.80 |
| CHI Health Missouri Valley | Missouri Valley, IA | $81.83 | $9.02 – $26.46 |
| HSHS Good Shepherd Hospital | Shelbyville, IL | $82.08 | $33.89 – $37.28 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $82.50 | $9.02 – $18.91 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $82.50 | $9.02 – $9.92 |
| Defiance Hospital | Defiance, OH | $82.80 | not published |