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 |
|---|---|---|---|
| Morristown-Hamblen Hospital Association | Morristown, TN | $20.70 | $3.09 – $62.10 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $20.80 | $6.11 – $28.45 |
| CHI St. Vincent Morrilton | Morrilton, AR | $21.15 | $5.19 – $20.20 |
| Henry Ford Providence Novi Hospital | Novi, MI | $21.84 | $3.98 – $12.35 |
| Corewell Health Pennock | Hastings, MI | $22.00 | $6.53 – $8.65 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $22.00 | $6.10 – $36.40 |
| Corewell Health Big Rapids | Big Rapids, MI | $22.00 | $6.18 – $12.37 |
| Corewell Health Gerber | Fremont, MI | $22.00 | $6.53 – $8.65 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $22.00 | $6.53 – $12.37 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $22.00 | $6.53 – $12.37 |
| Corewell Health Reed City | Po Box 75, MI | $22.00 | $6.53 – $8.65 |
| Corewell Health Greenville | Greenville, MI | $22.00 | $6.53 – $12.37 |
| Corewell Health Zeeland | Zeeland, MI | $22.00 | $6.18 – $12.37 |
| Cumberland Medical Center, Inc. | Crossville, TN | $22.08 | $3.09 – $62.10 |
| Mercy Primary Care - Bernie | Bernie, MO | $22.50 | $2.89 – $14.43 |
| 64-0362400 Anderson Regional Main Campus | Meridian, MS | $22.66 | $6.80 – $15.46 |
| Roane County Medical Center | Harriman, TN | $22.77 | $3.09 – $62.10 |
| Fort Loudoun Medical Center | Lenoir City, TN | $22.77 | $3.09 – $62.10 |
| Fort Sanders Regional Medical Center | Knoxville, TN | $22.77 | $3.09 – $62.10 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $22.77 | $3.09 – $62.10 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $23.04 | $4.95 – $129.60 |
| Providence Hood River Memorial Hospital | Hood River, OR | $23.25 | not published |
| Banner Wyoming Medical Center | Casper, WY | $23.52 | $6.87 – $53.76 |
| UPMC Western Maryland | Cumberland, MD | $24.00 | $40.00 – $40.00 |
| Providence Medford Medical Center | Medford, OR | $24.00 | $5.50 – $13.74 |
| Allina Health Faribault Medical Center | Faribualt, MN | $24.75 | $6.39 – $51.01 |
| Buffalo Hospital | Buffalo, MN | $24.75 | $6.39 – $51.01 |
| Cambridge Medical Center | Cambridge, MN | $24.75 | $6.39 – $51.01 |
| River Falls Area Hospital | River Falls, MN | $24.75 | $6.39 – $111.49 |
| Owatonna Hospital | Owatonna, MN | $24.75 | $6.39 – $51.01 |
| CHI Health Nebraska Heart | Lincoln, NE | $24.84 | $6.66 – $44.28 |
| Rochester General Hospital | Rochester, NY | $24.86 | $5.76 – $8.86 |
| Newark Wayne Community Hospital | Newark, NY | $24.86 | $5.91 – $10.72 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $24.86 | $4.59 – $12.96 |
| Orange County Anaheim Medical Center | Anaheim, CA | $24.96 | $5.00 – $5.00 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $24.96 | $5.00 – $5.00 |
| Downey Medical Center | Downey, CA | $24.96 | $5.00 – $5.00 |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $24.96 | $5.00 – $5.00 |
| Riverside Medical Center | RIVERSIDE, CA | $24.96 | $5.00 – $5.00 |
| South Bay Medical Center | HARBOR CITY, CA | $24.96 | $5.00 – $5.00 |
| San Marcos Medical Center | SAN MARCOS, CA | $24.96 | $5.00 – $5.00 |
| West Los Angeles Medical Center | LOS ANGELES, CA | $24.96 | $5.00 – $5.00 |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $24.96 | $5.00 – $5.00 |
| Panorama Medical Center | PANORAMA CITY, CA | $24.96 | $5.00 – $5.00 |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $24.96 | $5.00 – $5.00 |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $24.96 | $5.00 – $5.00 |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $24.96 | $5.00 – $5.00 |
| Virginia Mason Medical Center | Seattle, WA | $24.99 | $4.81 – $21.47 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $25.60 | $6.87 – $92.70 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $25.65 | $6.87 – $26.52 |