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 |
|---|---|---|---|
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | $174.00 | $2.65 – $15.66 |
| Lorain Hospital | Lorain, OH | $174.60 | not published |
| Providence Kodiak Island Medical Center | Kodiak, AK | $174.72 | not published |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | $177.60 | $2.65 – $15.66 |
| Northwestern Memorial Hospital | Chicago, IL | $180.60 | not published |
| San Martin Hospital | Las Vegas, NV | $181.43 | $4.35 – $69.69 |
| Adventhealth Wauchula | Wauchula, FL | $182.52 | not published |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | $184.93 | $6.80 – $7.21 |
| St Francis Downtown | Greenville, SC | $185.40 | not published |
| St Francis Eastside | Greenville, SC | $185.40 | not published |
| OSF Saint Francis Medical Center | Peoria, IL | $185.40 | $6.87 – $14.63 |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | $187.20 | $6.87 – $7.01 |
| Adventhealth Sebring | Sebring, FL | $188.08 | $7.04 – $15.61 |
| Canton-Potsdam Hospital | Potsdam, NY | $188.09 | $5.76 – $65.07 |
| MUSC Health Florence Medical Center | Florence, SC | $188.50 | $3.94 – $7.56 |
| Beckley ARH Hospital | Beckley, WV | $189.00 | $6.18 – $34.35 |
| Summers County ARH Hospital | Hinton, WV | $189.00 | $6.18 – $6.18 |
| Whitesburg ARH Hospital | Whitesburg, KY | $189.00 | $5.84 – $6.87 |
| Harlan ARH Hospital | KY 40831, KY | $189.00 | $5.84 – $6.87 |
| Middlesboro ARH Hospital | Middlesboro, KY | $189.00 | $5.84 – $6.87 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $189.00 | $5.84 – $6.87 |
| Hazard ARH Regional Medical Center | Hazard, KY | $189.00 | $5.84 – $6.87 |
| Barbourville ARH Hospital | Barbourville, KY | $189.00 | $6.87 – $6.87 |
| Paintsville ARH Hospital | Paintsville, KY | $189.00 | $5.84 – $8.48 |
| Mercy Hospital of Folsom | Folsom, CA | $190.23 | $5.18 – $140.22 |
| MaineHealth - Memorial Hospital | North Conway, NH | $190.55 | $3.39 – $67.59 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | $190.81 | $5.27 – $39.02 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | $194.40 | $2.65 – $15.66 |
| RESTON HOSPITAL CENTER | VIENNA, VA | $194.55 | $6.87 – $39.02 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | $196.00 | $6.80 – $126.61 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $196.95 | $6.66 – $303.00 |
| AdventHealth Deland | Deland, FL | $199.77 | $6.53 – $13.70 |
| Adventhealth Fish Memorial | Orange City, FL | $200.29 | $6.53 – $13.07 |
| Siena Hospital | Henderson, NV | $200.90 | $4.35 – $69.69 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $200.90 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $200.90 | not published |
| Adventhealth Daytona Beach | Daytona Beach, FL | $202.99 | $6.53 – $11.47 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $204.00 | $6.38 – $13.42 |
| Houston Methodist Hospital | Houston, TX | $205.50 | $6.87 – $28.58 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | $206.73 | $5.77 – $18.00 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH, TX | $206.73 | $6.87 – $18.00 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | $207.00 | $6.80 – $132.57 |
| Methodist Charlton Medical Center | Dallas, TX | $208.00 | $5.48 – $23.61 |
| Methodist Dallas Medical Center | Dallas, TX | $208.00 | $5.48 – $31.23 |
| Methodist Mansfield Medical Center | Mansfield, TX | $208.00 | $5.48 – $24.66 |
| Methodist Midlothian Medical Center | Midlothian, TX | $208.00 | $5.48 – $23.61 |
| Methodist Richardson Medical Center | Richardson, TX | $208.00 | $5.48 – $23.61 |
| Methodist Celina Medical Center | Celina, TX | $208.00 | $6.35 – $17.18 |
| Methodist Southlake Medical Center | Souhtlake, TX | $208.00 | $4.04 – $29.71 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $211.75 | $6.87 – $18.36 |