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 NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $25.65 | $6.87 – $26.52 |
| 81-3257997 BMH Calhoun | Calhoun City, MS | $26.00 | $6.87 – $11.16 |
| Banner Payson Medical Center | Payson, AZ | $26.32 | $6.87 – $50.40 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $26.40 | $5.00 – $14.70 |
| Banner Churchill Community Hospital | Fallon, NV | $26.99 | $14.56 – $53.76 |
| Abbott Northwestern Hospital | MN 55407, MN | $27.12 | $6.39 – $23.11 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $27.12 | $6.39 – $14.26 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $27.12 | $6.39 – $40.49 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $27.50 | $6.73 – $14.67 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $28.00 | $6.87 – $32.30 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $28.00 | $6.87 – $30.56 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $28.00 | $6.87 – $45.33 |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $28.00 | $6.87 – $32.30 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $28.00 | $6.94 – $32.30 |
| Sunnyside Medical Center | CLACKAMAS, OR | $28.05 | $8.00 – $8.00 |
| Westside Medical Center | HILLSBORO, OR | $28.05 | $8.00 – $8.00 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $28.40 | $7.11 – $12.33 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $28.72 | $6.87 – $25.52 |
| Sanford Vermillion Hospital | Vermillion, SD | $28.80 | $10.62 – $32.40 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $28.98 | $6.66 – $58.65 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $28.98 | $6.66 – $58.65 |
| Lasting Hope Recovery Center | Omaha, NE | $28.98 | $6.66 – $58.65 |
| CHI Health Immanuel | Omaha, NE | $28.98 | $6.66 – $58.65 |
| CHI Health Lakeside | Omaha, NE | $28.98 | $6.66 – $58.65 |
| CHI Health Midlands | Papillion, NE | $28.98 | $6.66 – $58.65 |
| St. Clare Hospital | Lakewood, WA | $29.69 | $6.87 – $77.24 |
| MultiCare Valley Hospital | Spokane Valley, WA | $30.00 | $6.87 – $12.46 |
| MultiCare Deaconess Hospital | Spokane, WA | $30.00 | $6.73 – $12.46 |
| Sanford Canton Inwood Medical Center | Canton, SD | $30.40 | $13.00 – $34.20 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $30.53 | $4.37 – $202.78 |
| cleveland clinic main campus | Cleveland, OH | $30.55 | $1.10 – $42.30 |
| akron general | Akron, OH | $30.55 | $0.95 – $42.30 |
| avon hospital | Avon, OH | $30.55 | $0.95 – $42.30 |
| euclid hospital | Euclid, OH | $30.55 | $0.95 – $42.30 |
| fairview hospital | Cleveland, OH | $30.55 | $0.95 – $42.30 |
| lutheran hospital | Cleveland, OH | $30.55 | $0.95 – $42.30 |
| hillcrest hospital | Mayfield Heights, OH | $30.55 | $0.95 – $42.30 |
| lodi hospital | Lodi, OH | $30.55 | $3.54 – $42.30 |
| marymount hospital | Garfield Heights, OH | $30.55 | $0.95 – $42.30 |
| medina hospital | Medina, OH | $30.55 | $0.95 – $42.30 |
| mercy hospital | Canton, OH | $30.55 | $1.11 – $42.30 |
| south pointe hospital | Warrensville Heights, OH | $30.55 | $0.95 – $42.30 |
| The Unity Hospital of Rochester | Rochester, NY | $30.60 | $5.76 – $8.86 |
| 62-1519754 BMH Golden Triangle | Columbus, MS | $30.75 | $6.60 – $19.24 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $30.80 | $6.87 – $13.51 |
| 64-0844470 MBMC Yazoo | Yazoo City, MS | $31.16 | $6.87 – $11.16 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $31.25 | $6.87 – $11.13 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $31.25 | $6.73 – $11.13 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $31.25 | $6.73 – $11.13 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $31.25 | $6.87 – $11.13 |