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 |
|---|---|---|---|
| St. Bernardine Medical Center | San Bernardino, CA | $144.86 | $1.84 – $37.15 |
| Adventhealth Durand | Durand, WI | $145.37 | not published |
| Riverside Methodist Hospital | Columbus, OH | $146.25 | $6.87 – $25.76 |
| Dublin Methodist Hospital | Dublin, OH | $146.25 | $6.87 – $25.76 |
| Grant Medical Center | Columbus, OH | $146.25 | $6.87 – $25.76 |
| Doctors Hospital | Columbus, OH | $146.25 | $6.87 – $25.76 |
| Stephens Memorial Hospital | Norway, ME | $147.75 | $6.87 – $138.89 |
| NewYork-Presbyterian Queens | Flushing, NY | $148.00 | $4.81 – $68.69 |
| Adventhealth Murray | Po Box 1406, GA | $148.16 | $6.87 – $13.62 |
| Adventhealth Gordon | Calhoun, GA | $148.16 | $6.73 – $13.62 |
| Waldo County General Hospital | Belfast, ME | $148.45 | $6.87 – $139.84 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $148.92 | $6.73 – $60.33 |
| Adventhealth Manchester | Manchester, KY | $149.08 | $6.87 – $6.87 |
| Lourdes Hospital | Paducah, KY | $150.60 | not published |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | $151.20 | $6.82 – $27.81 |
| Hardin Memorial Hospital | Kenton, OH | $151.45 | not published |
| Arroyo Grande Hospital | Santa Maria, CA | $154.51 | $3.27 – $17.72 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $155.00 | $4.81 – $68.24 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $155.00 | $4.81 – $122.87 |
| St Anne Hospital | Toledo, OH | $156.00 | not published |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $156.98 | $5.77 – $81.34 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | $157.00 | $5.86 – $31.29 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | $157.00 | $5.86 – $29.94 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $159.65 | $3.00 – $19.76 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $160.61 | $2.89 – $19.92 |
| Adventhealth South Overland Park | Overland Park, KS | $160.61 | $2.89 – $19.92 |
| Adventhealth Ottawa | Ottawa, KS | $160.61 | $2.89 – $18.71 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | $160.64 | $3.09 – $20.61 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $161.26 | $6.87 – $15.25 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $161.39 | $3.00 – $19.76 |
| OSF Saint Clare Medical Center | Princeton, IL | $162.40 | not published |
| Emory Decatur Hospital | Decatur, GA | $166.00 | $5.15 – $14.56 |
| Emory Hillandale Hospital | Lithonia, GA | $166.00 | $5.15 – $14.56 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $166.00 | $9.38 – $9.38 |
| Emory Johns Creek Hospital | Johns Creek, GA | $166.00 | $5.15 – $14.56 |
| Emory Rehabilitation Hospital | Atlanta, GA | $166.00 | $5.15 – $10.31 |
| Emory Saint Joseph's Hospital | Atlanta, GA | $166.00 | $5.15 – $14.56 |
| Emory University Hospital | Ne, GA | $166.00 | $5.15 – $14.56 |
| Emory University Hospital Midtown | Atlanta, GA | $166.00 | $5.15 – $14.56 |
| Covenant Specialty Hospital | Lubbock, TX | $167.16 | not published |
| Covenant Medical Center | Lubbock, TX | $167.16 | $6.87 – $29.95 |
| Covenant Children's Hospital | Lubbock, TX | $167.16 | $15.02 – $29.95 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $170.40 | $2.65 – $15.66 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $171.68 | $6.53 – $15.01 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $172.20 | $2.65 – $15.66 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | $172.20 | $2.65 – $15.66 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $172.20 | $2.65 – $15.66 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $172.20 | $2.65 – $15.66 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $172.20 | $2.65 – $15.66 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | $172.20 | $2.65 – $15.66 |