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 |
|---|---|---|---|
| St. Anthony Hospital | Gig Harbor, WA | $31.33 | $6.87 – $77.24 |
| Banner Page Hospital | Page, AZ | $31.42 | $6.87 – $53.20 |
| St. Anne Hospital | Burien, WA | $31.45 | $6.87 – $92.69 |
| Providence Newberg Medical Center | Newberg, OR | $31.50 | $6.76 – $12.57 |
| Providence Portland Medical Center | Portland, OR | $31.50 | $6.76 – $13.74 |
| Providence St Vincent Medical Center | Portland, OR | $31.50 | $6.76 – $13.74 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $31.50 | $6.76 – $13.74 |
| Potomac Valley Hospital | Keyser, WV | $31.50 | not published |
| Providence Milwaukie Hospital | Milwaukie, OR | $31.50 | $6.76 – $13.74 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $31.68 | $6.87 – $15.46 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $31.68 | $6.87 – $15.46 |
| HSHS St. Vincent Hospital | Green Bay, WI | $31.68 | $6.87 – $15.46 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $31.68 | $6.87 – $8.93 |
| Emory Hospital Perry | Perry, GA | $32.00 | $5.15 – $14.56 |
| Emory Hospital Warner Robins | Warner Robins, GA | $32.00 | $5.15 – $14.56 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $32.30 | $0.55 – $84.12 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $32.30 | $1.20 – $88.01 |
| St. Francis Hospital | Federal Way, WA | $32.32 | $6.87 – $77.24 |
| CHI Health St. Elizabeth | Lincoln, NE | $32.50 | $6.66 – $64.01 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $32.69 | $2.44 – $75.58 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $32.73 | $6.18 – $158.95 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $32.73 | $6.18 – $168.30 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $32.73 | $6.18 – $168.30 |
| St. Joseph Health College Station Hospital | College Station, TX | $32.73 | $5.77 – $158.95 |
| Sanford Luverne Medical Center | Luverne, MN | $32.80 | $9.93 – $36.90 |
| Banner Behavioral Health Hospital | Scottsdale, AZ | $32.81 | $6.87 – $39.20 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $33.00 | $6.87 – $28.32 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $33.00 | $6.87 – $28.32 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $33.00 | $6.87 – $28.32 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $33.00 | $6.18 – $12.37 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $33.00 | $7.01 – $11.53 |
| Sentara RMH Medical Center | Harrisonburg, VA | $33.00 | $7.01 – $13.74 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $33.00 | $6.87 – $28.32 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $33.00 | $6.87 – $28.32 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $33.00 | $6.87 – $28.32 |
| New Ulm Medical Center | MN 56073, MN | $33.04 | $6.39 – $78.49 |
| 62-1138045 BMH Union City | Union City, TN | $33.20 | $5.98 – $13.74 |
| 82-3844150 BMH Crittenden | West Memphis, AR | $33.30 | $6.53 – $13.74 |
| UPMC Jameson | New Castle, PA | $33.60 | $6.79 – $13.52 |
| St. Joseph Medical Center | Tacoma, WA | $34.11 | $6.87 – $77.24 |
| UPMC Community Osteopathic | Harrisburg, PA | $34.20 | $6.80 – $48.45 |
| UPMC Hanover | Hanover, PA | $34.20 | $6.80 – $12.94 |
| UPMC Lititz | Lititz, PA | $34.20 | $6.80 – $12.94 |
| UPMC Memorial | York, PA | $34.20 | $7.10 – $49.69 |
| 45-2896080 MBMC Leake | Carthage, MS | $34.20 | $6.87 – $11.16 |
| UPMC Somerset | Somerset, PA | $34.20 | $6.79 – $13.20 |
| UPMC Carlisle | Carlisle, PA | $34.20 | $6.80 – $48.45 |
| Ogallala Community Hospital | Ogallala, NE | $34.33 | $24.64 – $54.32 |
| Community Hospital | Torrington, WY | $34.44 | $24.64 – $54.32 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | $34.45 | $6.87 – $30.71 |