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 |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast, FL | $214.85 | $6.53 – $14.67 |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $214.85 | $6.53 – $14.67 |
| Petaluma Valley Hospital | Petaluma, CA | $216.24 | $6.73 – $56.11 |
| Adventhealth Waterman | Tavares, FL | $216.78 | $6.87 – $13.86 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | $220.00 | $6.53 – $126.61 |
| Adventhealth Rollins Brook | Lampasas, TX | $227.20 | $6.18 – $26.45 |
| Adventhealth Central Texas | Killeen, TX | $227.20 | $6.18 – $26.45 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $231.60 | $6.87 – $7.01 |
| Adventhealth Connerton | Land O Lakes, FL | $235.66 | not published |
| St. Joseph's Medical Center Stockton | Stockton, CA | $238.14 | $1.38 – $6.54 |
| UPMC Presbyterian | Pittsburgh, PA | $240.00 | $6.79 – $14.79 |
| Queen of The Valley Medical Center | Napa, CA | $243.78 | $6.87 – $70.91 |
| Texas Health Hospital Mansfield | Mansfield, TX | $248.23 | $6.87 – $30.54 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $248.23 | $6.87 – $30.54 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $248.52 | $6.87 – $148.96 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $251.35 | $6.87 – $7.21 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $251.35 | $6.87 – $7.21 |
| Rose de Lima Hospital | Henderson, NV | $253.11 | $4.35 – $69.69 |
| St. Joseph's Behavioral Health Center | Stockton, CA | $260.95 | $0.66 – $5.24 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | $264.19 | $6.49 – $15.41 |
| Southern Virginia Medical Center | Emporia, VA | $266.10 | not published |
| Mercy Medical Center Merced | Merced, CA | $267.29 | $1.74 – $6.00 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $268.80 | $6.87 – $7.01 |
| HORIZON MEDICAL CENTER | DICKSON, TN | $269.29 | $3.09 – $20.61 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | $273.00 | $5.98 – $30.72 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | $273.00 | $5.98 – $29.53 |
| TRICITIES HOSPITAL | HOPEWELL, VA | $273.00 | $5.98 – $29.53 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | $294.00 | $5.98 – $7.35 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $303.00 | $6.66 – $303.00 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | $303.00 | $5.98 – $9.96 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $310.00 | not published |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $310.00 | $6.87 – $28.58 |
| Houston Methodist West Hospital | Houston, TX | $310.00 | $6.87 – $28.58 |
| Houston Methodist Baytown Hospital | Baytown, TX | $310.00 | $6.87 – $28.58 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $310.00 | $6.87 – $28.58 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $310.00 | $6.87 – $13.40 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $310.00 | $6.87 – $28.58 |
| Houston Methodist Cypress Hospital | Cypress, TX | $310.00 | $6.87 – $28.58 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | $324.00 | $5.27 – $7.35 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $354.79 | $5.77 – $26.85 |
| AdventHealth Orlando | Orlando, FL | $368.00 | $6.87 – $18.21 |
| Adventhealth Lake Wales | Lake Wales, FL | $408.74 | $6.87 – $15.25 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | $413.55 | $3.71 – $15.41 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | $413.55 | $3.71 – $15.41 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | $414.00 | $5.98 – $9.96 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | $414.47 | $3.71 – $15.41 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | $451.21 | $6.23 – $113.91 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | $464.46 | $4.12 – $25.83 |
| Adventhealth Redmond | Rome, GA | $474.83 | $5.63 – $19.10 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $477.50 | $6.87 – $11.81 |