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 |
|---|---|---|---|
| Mercy West Hospital | Cincinnati, OH | $76.20 | not published |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $76.40 | $2.89 – $158.00 |
| Jefferson Medical Center | Ranson, WV | $76.50 | not published |
| Urbana Hospital | Urbana, OH | $76.80 | not published |
| Chandler Regional Medical Center | Chandler, AZ | $77.46 | $3.85 – $23.09 |
| Inova Alexandria Hospital | Alexandria, VA | $77.50 | $6.87 – $97.51 |
| Inova Fairfax Hospital | Falls Church, VA | $77.50 | $6.87 – $97.51 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $77.50 | $6.87 – $97.51 |
| Inova Loudoun Hospital | Leesburg, VA | $77.50 | $6.87 – $97.51 |
| Inova Mount Vernon Hospital | Alexandria, VA | $77.50 | $6.87 – $97.51 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $77.76 | $13.28 – $108.00 |
| Franklin Memorial Hospital | Farmington, ME | $78.15 | $6.87 – $73.46 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $78.75 | $5.48 – $168.75 |
| Providence Valdez Medical Center | Valdez, AK | $78.78 | not published |
| MUSC Health Kershaw Medical Center | Camden, SC | $79.00 | $6.87 – $7.56 |
| UPMC McKeesport | Mckeesport, PA | $80.40 | $6.37 – $13.42 |
| UPMC Mercy | Pittsburgh, PA | $80.40 | $5.73 – $13.29 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $80.73 | $5.77 – $100.91 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $80.73 | $5.77 – $81.34 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $80.73 | $5.77 – $100.91 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $80.73 | $5.77 – $100.91 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $81.00 | $6.87 – $12.37 |
| MercyOne Centerville Medical Center | Centerville, IA | $81.00 | $22.23 – $81.00 |
| California Hospital Medical Center | Los Angeles, CA | $81.48 | $6.69 – $132.72 |
| Henry Ford Rochester Hospital | Rochester, MI | $82.25 | $3.71 – $13.05 |
| UPMC Muncy | Muncy, PA | $82.80 | $6.79 – $16.19 |
| UPMC Williamsport | Williamsport, PA | $82.80 | $6.79 – $12.16 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | $82.80 | $3.39 – $14.43 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | $82.80 | $3.39 – $14.43 |
| Kettering Health Dayton (Grandview) | Dayton, OH | $82.80 | $3.39 – $14.43 |
| Soin Medical Center | Beaver Creek, OH | $82.80 | $3.39 – $14.43 |
| Kettering Health Greene Memorial | Xenia, OH | $82.80 | $3.39 – $14.43 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $82.80 | $3.39 – $14.43 |
| Kettering Health Troy | Troy, OH | $82.80 | $3.39 – $14.43 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $83.30 | $4.95 – $238.00 |
| Baylor St Luke's Medical Center | Houston, TX | $83.30 | $4.95 – $238.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $83.30 | $4.95 – $238.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $83.30 | $4.95 – $238.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $83.30 | $4.95 – $238.00 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $83.60 | $6.87 – $25.52 |
| Providence St Joseph Hospital | Chewelah, WA | $84.00 | not published |
| Glendale Memorial Hospital Health Center | Glendale, CA | $84.11 | $1.42 – $15.34 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $84.70 | $6.87 – $6.87 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $85.00 | $6.87 – $136.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $85.00 | $6.87 – $136.00 |
| Advocate Sherman Hospital | Elgin, IL | $85.00 | $6.87 – $153.00 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $85.00 | $6.87 – $165.58 |
| Advocate Trinity Hospital | Chicago, IL | $85.00 | $6.87 – $136.00 |
| Advocate Christ Medical Center | Oak Lawn, IL | $85.00 | $6.87 – $136.00 |
| Advocate Condell Medical Center | Libertyville, IL | $85.00 | $6.87 – $136.00 |