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 |
|---|---|---|---|
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | $34.45 | $6.66 – $12.31 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | $34.45 | $6.87 – $30.71 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $34.45 | $6.87 – $30.71 |
| East Morgan County Hospital | Brush, CO | $34.50 | $23.60 – $54.32 |
| CHI St. Vincent North | Sherwood, AR | $34.58 | $5.19 – $20.20 |
| UPMC Horizon-Greenville | Greenville, PA | $34.80 | $6.15 – $13.20 |
| Princeton Community Hospital | Princeton, WV | $35.00 | $6.49 – $40.02 |
| Washakie Medical Center | Worland, WY | $35.95 | $26.88 – $54.32 |
| Parkview Montpelier Hospital | Montpelier, OH | $36.00 | not published |
| Parkview Bryan Hospital | Bryan, OH | $36.00 | $6.87 – $20.61 |
| 64-0772726 BMH North Mississippi | Oxford, MS | $36.34 | $6.60 – $19.24 |
| St. Elizabeth Hospital | Enumclaw, WA | $36.39 | $6.87 – $92.69 |
| Arizona General Hospital Laveen | Phoenix, AZ | $36.42 | $4.12 – $129.91 |
| Covenant Hospital Levelland | Levelland, TX | $36.96 | $6.66 – $7.25 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $37.00 | $6.87 – $7.01 |
| UPMC Kane | Kane, PA | $37.20 | $6.79 – $29.65 |
| Platte County Hospital | Wheatland, WY | $37.24 | $26.88 – $54.32 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | $37.80 | $6.87 – $7.56 |
| MUSC Health Black River Medical Center | Cades, SC | $38.00 | $3.94 – $18.33 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $38.19 | $7.21 – $26.52 |
| St Ritas Medical Center | Lima, OH | $38.40 | not published |
| Redwood City Medical Center | Redwood City, CA | $39.20 | $6.00 – $6.00 |
| Oakland Medical Center | Oakland, CA | $39.20 | $6.00 – $6.00 |
| Sacramento Medical Center | SACRAMENTO, CA | $39.20 | $6.00 – $6.00 |
| San Leandro Medical Center | SAN LEANDRO, CA | $39.20 | $6.00 – $6.00 |
| Santa Clara Medical Center | SANTA CLARA, CA | $39.20 | $6.00 – $6.00 |
| San Rafael Medical Center | SAN RAFAEL, CA | $39.20 | $6.00 – $6.00 |
| Santa Rosa Medical Center | SANTA ROSA, CA | $39.20 | $6.00 – $6.00 |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $39.20 | $6.00 – $6.00 |
| South Sacramento Medical Center | SACRAMENTO, CA | $39.20 | $6.00 – $6.00 |
| Vacaville Medical Center | VACAVILLE, CA | $39.20 | $6.00 – $6.00 |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $39.20 | $6.00 – $6.00 |
| Vallejo Medical Center | VALLEJO, CA | $39.20 | $6.00 – $6.00 |
| Antioch Medical Center | ANTIOCH, CA | $39.20 | $6.00 – $6.00 |
| Fremont Medical Center | FREMONT, CA | $39.20 | $6.00 – $6.00 |
| Fresno Medical Center | FRESNO, CA | $39.20 | $6.00 – $6.00 |
| Roseville Medical Center | ROSEVILLE, CA | $39.20 | $6.00 – $6.00 |
| San Jose Medical Center | SAN JOSE, CA | $39.20 | $6.00 – $6.00 |
| San Francisco Medical Center | SAN FRANCISCO, CA | $39.20 | $6.00 – $6.00 |
| Arizona General Hospital Mesa | Mesa, AZ | $39.28 | $4.12 – $129.91 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $39.60 | $5.15 – $28.60 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $40.00 | $6.23 – $48.60 |
| Weirton Medical Center | Weirton, WV | $40.00 | $6.49 – $34.96 |
| Covenant Hospital Plainview | Plainview, TX | $40.74 | $6.66 – $7.25 |
| Rappahannock General Hospital | Kilmarnock, VA | $40.80 | not published |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $40.80 | $12.35 – $45.90 |
| Sanford Medical Center Mayville | Mayville, ND | $40.80 | $12.35 – $45.90 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $40.95 | $6.18 – $24.68 |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $41.20 | $6.94 – $15.46 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | $41.26 | $6.87 – $16.71 |