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 |
|---|---|---|---|
| Banner Gateway Medical Center | Gilbert, AZ | $9.30 | $6.87 – $42.00 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | $9.35 | $5.15 – $68.23 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $9.48 | $3.59 – $32.16 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $9.48 | $3.59 – $32.16 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $9.48 | $3.59 – $32.16 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $9.48 | $3.59 – $37.44 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $9.69 | $6.87 – $42.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $9.90 | $5.15 – $54.59 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $10.64 | $6.87 – $42.00 |
| Banner Ocotillo Medical Center | Chandler, AZ | $10.98 | $6.87 – $42.00 |
| Mark Twain Medical Center | San Andreas, CA | $11.45 | $3.54 – $6.53 |
| Dickenson Community Hospital | CLINTWOOD, VA | $11.73 | $6.87 – $20.68 |
| Hancock County Hospital | SNEEDVILLE, TN | $11.73 | $4.87 – $15.81 |
| Lee County Community Hospital | PENNINGTON GAP, VA | $11.73 | $6.87 – $20.68 |
| Johnson County Community Hospital | MOUNTAIN CITY, TN | $11.73 | $6.87 – $15.66 |
| Grant Memorial Hospital | Petersburg, WV | $12.00 | not published |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | $12.10 | $6.23 – $122.41 |
| Bristol Regional Medical Center | BRISTOL, TN | $12.15 | $3.44 – $16.49 |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $12.15 | $3.44 – $15.06 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $12.15 | $3.44 – $15.06 |
| Greeneville Community Hospital | GREENEVILLE, TN | $12.15 | $3.09 – $15.06 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $12.15 | $3.44 – $15.53 |
| Holston Valley Medical Center | KINGSPORT, TN | $12.15 | $3.44 – $16.49 |
| Indian Path Community Hospital | KINGSPORT, TN | $12.15 | $3.44 – $16.49 |
| Johnson City Medical Center | JOHNSON CITY, TN | $12.15 | $3.44 – $14.98 |
| Johnston Memorial Hospital | ABINGDON, VA | $12.15 | $3.44 – $14.98 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $12.15 | $3.44 – $16.49 |
| Russell County Hospital | LEBANON, VA | $12.15 | $6.87 – $14.98 |
| Smyth County Community Hospital | MARION, VA | $12.15 | $6.87 – $14.98 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $12.27 | $3.20 – $6.53 |
| Braxton County Memorial Hospital | Gassaway, WV | $12.50 | not published |
| Banner Fort Collins Medical Center | Fort Collins, CO | $12.71 | $6.66 – $53.20 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $12.88 | $6.66 – $53.20 |
| Navos Multi-Treatment Center | Seattle, WA | $13.60 | not published |
| Uniontown Hospital | Uniontown, PA | $14.50 | $6.49 – $14.27 |
| Henry Ford River District Hospital | China Township, MI | $15.36 | $6.53 – $13.05 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $15.40 | $6.87 – $16.49 |
| CHI Memorial Hospital Hixson | Hixson, TN | $15.40 | $6.10 – $36.40 |
| UPMC Chautauqua | Jamestown, NY | $16.80 | $6.87 – $25.20 |
| Henry Ford Warren Hospital | Warren, MI | $16.80 | $6.53 – $13.05 |
| Van Wert Hospital | Van Wert, OH | $16.90 | $6.87 – $7.01 |
| MultiCare Auburn Medical Center | Auburn, WA | $17.20 | $6.73 – $13.47 |
| MultiCare Covington Medical Center | Covington, WA | $17.20 | $6.73 – $13.47 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $17.20 | $6.73 – $13.47 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $17.20 | $6.87 – $31.56 |
| MultiCare Allenmore Hospital | Tacoma, WA | $17.20 | $6.73 – $13.47 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | $17.42 | $5.86 – $41.61 |
| Sterling Regional Medical Center | Sterling, CO | $18.48 | $6.87 – $54.32 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | $19.74 | $3.98 – $14.56 |
| LeConte Medical Center | Sevierville, TN | $20.01 | $3.09 – $62.10 |