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 |
|---|---|---|---|
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $122.50 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $122.50 | not published |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $122.85 | $6.87 – $18.36 |
| OSF Saint Anthony Medical Center | Rockford, IL | $123.60 | $6.87 – $24.04 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $123.92 | $6.87 – $18.70 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $124.20 | $6.87 – $6.87 |
| Willard Hospital | Willard, OH | $124.20 | not published |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $126.43 | $6.87 – $25.52 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $127.50 | $3.25 – $59.00 |
| University Hospitals Geneva Medical Center | Geneva, OH | $127.50 | $3.25 – $69.00 |
| Sentara Leigh Hospital | Norfolk, VA | $128.00 | $6.87 – $50.47 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $128.00 | $6.87 – $50.47 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $128.00 | $6.87 – $50.47 |
| Sentara Obici Hospital | Suffolk, VA | $128.00 | $6.87 – $50.47 |
| Sentara CarePlex Hospital | Hampton, VA | $128.00 | $6.87 – $7.21 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $128.00 | $6.02 – $36.13 |
| Sentara Norfolk General Hospital | Norfolk, VA | $128.00 | $6.87 – $50.47 |
| OSF Holy Family Medical Center | Monmouth, IL | $128.80 | not published |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $129.50 | $6.87 – $18.36 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $129.50 | $6.87 – $39.98 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $130.80 | not published |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $130.84 | $5.77 – $163.55 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $131.40 | $2.65 – $15.66 |
| Providence Saint Joseph Medical Center | Burbank, CA | $131.60 | $6.87 – $40.27 |
| OSF St Francis Hospital | Escanaba, MI | $132.80 | not published |
| OSF Saint Paul Medical Center | Mendota, IL | $133.60 | not published |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $133.92 | $13.74 – $186.00 |
| Woodland Memorial Hospital | Woodland, CA | $133.99 | $5.18 – $171.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $133.99 | $5.18 – $141.93 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | $136.20 | $2.65 – $15.66 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | $137.00 | $3.09 – $20.61 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | $137.18 | $6.04 – $17.18 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $137.18 | $6.04 – $17.18 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $137.18 | $6.04 – $17.18 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | $137.18 | $6.04 – $17.18 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | $138.60 | $2.65 – $15.66 |
| Adventhealth Dade City | Dade City, FL | $139.52 | $6.87 – $15.57 |
| Methodist Hospital of Sacramento | Sacramento, CA | $140.84 | $5.18 – $141.93 |
| French Hospital | San Luis Obispo, CA | $141.52 | $1.77 – $20.83 |
| Grady Memorial Hospital | Delaware, OH | $141.70 | $6.87 – $7.14 |
| Baptist Hospital | MIAMI, FL | $142.35 | $5.94 – $197.10 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $142.35 | $6.87 – $197.10 |
| Doctors Hospital | CORAL GABLES, FL | $142.35 | $6.72 – $197.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $142.35 | $6.72 – $197.10 |
| Fishermens Community Hospital | MARATHON, FL | $142.35 | $6.72 – $197.10 |
| Homestead Hospital | HOMESTEAD, FL | $142.35 | $5.94 – $197.10 |
| Mariners Hospital | TAVERNIER, FL | $142.35 | $6.72 – $197.10 |
| West Kendall Baptist Hospital | MIAMI, FL | $142.35 | $6.72 – $197.10 |
| Allen Hospital | Oberlin, OH | $142.80 | not published |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $143.22 | $3.44 – $31.62 |