T4 (thyroxine) total cost at US hospitals
HC T4 (Thyroxine) Total · CPT 84436
$3.76
lowest cash price
$70.20
national median
$659.00
highest cash price
913
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $3.76–$659.00 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($86.70) → Sep 1, 2026 ($87.38)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $59.22 | $99.84 | $174.72 |
| Arizona | 24 | $4.70 | $9.30 | $123.92 |
| Arkansas | 11 | $20.80 | $52.65 | $105.00 |
| California | 88 | $3.76 | $53.76 | $267.29 |
| Colorado | 12 | $12.71 | $110.01 | $633.48 |
| Florida | 68 | $8.51 | $142.35 | $659.00 |
| Georgia | 25 | $15.40 | $96.72 | $474.83 |
| Hawaii | 2 | $42.75 | $42.75 | $57.60 |
| Illinois | 50 | $31.25 | $85.20 | $268.80 |
| Indiana | 26 | $42.50 | $119.40 | $194.40 |
| Iowa | 29 | $28.98 | $55.00 | $303.00 |
| Kansas | 11 | $40.00 | $160.61 | $510.03 |
| Kentucky | 22 | $43.87 | $87.38 | $189.00 |
| Louisiana | 1 | $17.42 | $17.42 | $17.42 |
| Maine | 7 | $78.15 | $86.70 | $148.45 |
| Maryland | 2 | $24.00 | $24.00 | $24.00 |
| Michigan | 27 | $9.48 | $22.00 | $132.80 |
| Minnesota | 18 | $24.75 | $27.12 | $103.20 |
| Mississippi | 11 | $22.66 | $36.34 | $57.60 |
| Missouri | 21 | $22.50 | $40.95 | $619.83 |
| Montana | 2 | $94.40 | $94.40 | $94.40 |
| Nebraska | 13 | $24.84 | $32.50 | $120.70 |
| Nevada | 4 | $26.99 | $181.43 | $253.11 |
| New Hampshire | 1 | $190.55 | $190.55 | $190.55 |
| New Jersey | 23 | $6.87 | $7.56 | $51.20 |
| New Mexico | 2 | $96.60 | $96.60 | $96.60 |
| New York | 23 | $6.87 | $6.87 | $188.09 |
| North Carolina | 15 | $37.00 | $115.68 | $115.68 |
| North Dakota | 4 | $40.80 | $40.80 | $40.80 |
| Ohio | 67 | $16.90 | $81.00 | $174.60 |
| Oklahoma | 17 | $26.40 | $53.30 | $116.46 |
| Oregon | 12 | $23.04 | $30.53 | $50.25 |
| Pennsylvania | 32 | $14.50 | $41.40 | $240.00 |
| South Carolina | 11 | $38.00 | $157.00 | $477.50 |
| South Dakota | 7 | $28.80 | $70.40 | $92.80 |
| Tennessee | 37 | $6.72 | $22.77 | $626.00 |
| Texas | 102 | $32.73 | $110.40 | $646.23 |
| Virginia | 43 | $11.73 | $98.00 | $414.00 |
| Washington | 33 | $13.60 | $37.80 | $114.10 |
| West Virginia | 18 | $12.00 | $49.50 | $189.00 |
| Wisconsin | 35 | $7.70 | $67.10 | $145.37 |
| Wyoming | 4 | $23.52 | $34.44 | $37.24 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Mary's Hospital | DECATUR, IL | $68.40 | $6.87 – $95.00 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $68.40 | $6.87 – $95.00 |
| Sanford Canby Medical Center | Canby, MN | $68.80 | $20.82 – $77.40 |
| St. Joseph's Hospital | Buckhannon, WV | $69.00 | not published |
| CHI Health Missouri Valley | Missouri Valley, IA | $69.58 | $6.87 – $20.58 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield, CA | $70.05 | $2.06 – $78.60 |
| Mansfield Hospital | Mansfield, OH | $70.20 | $6.87 – $7.14 |
| Shelby Hospital | Shelby, OH | $70.20 | not published |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $70.40 | $45.14 – $79.20 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $70.56 | $5.77 – $100.80 |
| MercyOne Clinton Medical Center | Clinton, IA | $70.85 | $6.66 – $109.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $71.02 | $6.87 – $29.82 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $71.02 | $6.87 – $29.82 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $71.10 | $3.85 – $21.16 |
| Adventhealth Hendersonville | Hendersonville, NC | $72.00 | $6.87 – $17.15 |
| Mercy Hospital Stoddard | Dexter, MO | $72.15 | $6.18 – $24.05 |
| CHI Health St. Mary's | Nebraska City, NE | $72.21 | $5.15 – $23.04 |
| Aurora Baycare Medical Center | Green Bay, WI | $72.50 | $5.50 – $24.11 |
| Aurora Medical Center Bay Area | Marinette, WI | $72.50 | $5.50 – $24.11 |
| Aurora Medical Center Burlington | Burlington, WI | $72.50 | $5.50 – $24.11 |
| Aurora Medical Center Grafton | Grafton, WI | $72.50 | $5.50 – $24.11 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | $72.50 | $5.50 – $24.11 |
| Aurora Medical Center Kenosha | Kenosha, WI | $72.50 | $5.50 – $24.11 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $72.50 | $5.50 – $24.11 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $72.50 | $5.50 – $24.11 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | $72.50 | $5.50 – $24.11 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $72.50 | $5.50 – $24.11 |
| Aurora Medical Center Summit | Summit, WI | $72.50 | $5.50 – $24.11 |
| Aurora Medical Center Washington County | Hartford, WI | $72.50 | $5.50 – $24.11 |
| Aurora West Allis Medical Center | West Allis, WI | $72.50 | $5.50 – $24.11 |
| Providence Centralia Hospital | Centralia, WA | $72.80 | $6.87 – $42.80 |
| Providence St Peter Hospital | Olympia, WA | $72.80 | $5.84 – $38.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $73.64 | $10.07 – $110.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $73.64 | $6.17 – $110.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $73.64 | $5.77 – $110.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $73.64 | $5.77 – $92.05 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $73.64 | $5.77 – $110.46 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $74.00 | $6.87 – $10.30 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $74.00 | $6.87 – $40.62 |
| West Virginia University Hospitals | Morgantown, WV | $74.00 | $4.47 – $29.10 |
| HSHS St. Joseph's Hospital | Breese, IL | $74.88 | $6.87 – $104.00 |
| Marcum Wallace Hospital | Irvine, KY | $75.00 | not published |
| Tiffin Hospital | Tiffin, OH | $75.60 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $75.60 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton, IL | $75.60 | not published |
| Berger Hospital | Circleville, OH | $76.05 | $6.87 – $6.87 |
| Jewish Hospital | Cincinnati, OH | $76.20 | not published |
| Anderson Hospital | Cincinnati, OH | $76.20 | not published |
| Clermont Hospital | Batavia, OH | $76.20 | not published |
| Kings Mills Hospital | Mason, OH | $76.20 | not published |