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 |
|---|---|---|---|
| Advocate Good Samaritan Hospital | Downers Grove, IL | $85.00 | $6.87 – $136.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $85.20 | $6.87 – $12.78 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $85.37 | $4.12 – $38.42 |
| Berkeley Medical Center | Martinsburg, WV | $85.50 | $6.49 – $10.85 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $85.51 | $6.87 – $83.39 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown, KY | $85.71 | $5.84 – $183.82 |
| HSHS Good Shepherd Hospital | Shelbyville, IL | $86.40 | $33.89 – $37.28 |
| Pen Bay Medical Center | Rockport, ME | $86.70 | $6.87 – $81.50 |
| Mid Coast Hospital | Brunswick, ME | $86.70 | $3.70 – $81.50 |
| Baptist Health Floyd | New Albany, IN | $87.38 | $5.84 – $174.75 |
| Baptist Health Hardin | Elizabethtown, KY | $87.38 | $5.84 – $233.00 |
| Baptist Health Corbin | Corbin, KY | $87.38 | $5.84 – $233.00 |
| Baptist Health La Grange | La Grange, KY | $87.38 | $5.84 – $233.00 |
| Baptist Health Lexington | Lexington, KY | $87.38 | $5.84 – $236.84 |
| Baptist Health Louisville | Louisville, KY | $87.38 | $4.12 – $233.00 |
| Baptist Health Paducah | Paducah, KY | $87.38 | $5.84 – $233.00 |
| St Elizabeth Youngstown Hospital | Youngstown, OH | $88.80 | not published |
| St Elizabeth Boardman Hospital | Youngstown, OH | $88.80 | not published |
| St Joseph Warren Hospital | Warren, OH | $88.80 | not published |
| Mercy Hospital Berryville | Berryville, AR | $89.05 | $6.11 – $28.45 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $89.19 | $5.77 – $111.49 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $89.19 | $5.77 – $111.49 |
| UPMC Altoona | Altoona, PA | $89.40 | $6.79 – $119.20 |
| Mercy Hospital Lincoln | Troy, MO | $91.00 | $6.87 – $9.73 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $91.20 | $38.99 – $102.60 |
| UPMC St. Margaret | Pittsburgh, PA | $91.80 | $5.93 – $14.83 |
| Sanford Hospital Webster | Webster, SD | $92.80 | $36.42 – $104.40 |
| ADVENTIST HEALTH DELANO | Delano, CA | $93.40 | $2.07 – $45.21 |
| OSF Saint Anthony's Health Center | Alton, IL | $94.20 | $5.84 – $7.01 |
| Providence St Joseph Medical Center | Polson, MT | $94.40 | $8.59 – $21.21 |
| Providence St Mary Medical Center | Walla Walla, WA | $94.50 | $6.87 – $12.71 |
| Love County Health Center | Marietta, OK | $96.00 | $6.11 – $6.11 |
| Covenant Health Hobbs Hospital | Hobbs, NM | $96.60 | $6.87 – $9.62 |
| Wellstar Cobb Hospital | Austell, GA | $96.72 | $6.87 – $12.71 |
| Wellstar Douglas Hospital | Douglasville, GA | $96.72 | $6.87 – $12.71 |
| Wellstar Kennestone Hospital | Marietta, GA | $96.72 | $6.87 – $12.71 |
| Wellstar MCG Health | Augusta, GA | $96.72 | $6.87 – $21.24 |
| Wellstar North Fulton Hospital | Roswell, GA | $96.72 | $6.87 – $12.71 |
| Wellstar Paulding Hospital | Hiram, GA | $96.72 | $6.87 – $12.71 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $96.72 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $96.72 | $6.87 – $13.47 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $96.72 | $12.04 – $23.77 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $96.72 | $6.87 – $13.47 |
| Wellstar Windy Hill Hospital | Marietta, GA | $96.72 | $6.87 – $13.47 |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $97.20 | $6.87 – $135.00 |
| Sentara Halifax Regional Hospital | South Boston, VA | $98.00 | $5.98 – $7.21 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $98.01 | $5.84 – $222.04 |
| Providence Saint John's Health Center | Santa Monica, CA | $99.40 | $6.87 – $21.31 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $99.75 | $3.24 – $119.70 |
| University Hospitals Elyria Medical Center | Elyria, OH | $99.75 | $6.87 – $12.37 |