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 St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | $41.26 | $7.30 – $16.71 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $41.26 | $7.30 – $16.71 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | $41.26 | $7.30 – $10.69 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | $41.26 | $6.87 – $27.48 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | $41.26 | $6.87 – $18.94 |
| 64-0881013 MBMC Jackson | Jackson, MS | $41.37 | $4.04 – $19.24 |
| UPMC Bedford | Everett, PA | $41.40 | $2.48 – $62.10 |
| 26-1214372 NEA Baptist | Jonesboro, AR | $41.42 | $3.96 – $13.74 |
| Henry Ford St John Hospital | Detroit, MI | $42.00 | $5.60 – $13.05 |
| St Mary's Hospital | Richmond, VA | $42.00 | not published |
| St Francis Medical Center | Midlothian, VA | $42.00 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $42.00 | not published |
| Richmond Community Hospital | Richmond, VA | $42.00 | not published |
| Parkview Logansport Hospital | Logansport, IN | $42.50 | $6.87 – $14.48 |
| Moanalua Medical Center | HONOLULU, HI | $42.75 | $7.00 – $7.00 |
| SSM Health Monroe Hospital | Monroe, WI | $42.90 | $6.87 – $12.02 |
| Parkwest Medical Center | Knoxville, TN | $43.47 | $1.12 – $62.10 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $43.87 | $5.84 – $82.81 |
| Thomas Hospitals | South Charleston, WV | $44.00 | $6.49 – $34.77 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $44.00 | $6.87 – $74.17 |
| 64-0682111 BMH DeSoto | Southaven, MS | $44.40 | $6.53 – $19.24 |
| Central Medical Center | Seattle, WA | $44.80 | $6.00 – $6.00 |
| Sanford Wheaton | Wheaton, MN | $44.80 | $13.07 – $48.60 |
| Ascension Saint Thomas Highlands | Sparta, TN | $44.97 | $4.82 – $27.07 |
| Ascension Saint Thomas DeKalb | Smithville, TN | $44.97 | $4.82 – $27.07 |
| Ascension Saint Thomas River Park | McMinnville, TN | $44.97 | $4.82 – $27.07 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $44.97 | $6.18 – $27.07 |
| Ascension Saint Thomas Midtown | Nashville, TN | $44.97 | $2.47 – $27.07 |
| UPMC Northwest | Seneca, PA | $45.00 | $6.23 – $10.93 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $45.00 | $10.76 – $46.92 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | $45.00 | $6.87 – $14.05 |
| St. Michael Medical Center | Silverdale, WA | $45.46 | $6.87 – $92.69 |
| Parkview Huntington Hospital | Huntington, IN | $45.50 | $6.87 – $14.05 |
| Parkview LaGrange Hospital | Lagrange, IN | $45.50 | $13.32 – $15.21 |
| Parkview DeKalb Hospital | Auburn, IN | $46.00 | $6.87 – $14.05 |
| Parkview Noble Hospital | Kendallville, IN | $46.00 | $6.87 – $14.05 |
| Parkview Wabash Hospital | Wabash, IN | $46.50 | $13.32 – $15.21 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $46.55 | $5.84 – $115.57 |
| 62-0123940 BMH Collierville | Collierville, TN | $46.62 | $6.53 – $13.74 |
| UPMC Magee | Pittsburgh, PA | $46.80 | $6.43 – $16.19 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $46.80 | $12.92 – $27.74 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $46.80 | $7.90 – $17.86 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | $47.50 | $6.87 – $14.05 |
| Parkview Ortho Hospital | Fort Wayne, IN | $47.50 | $6.87 – $14.05 |
| martin north hospital | Stuart, FL | $48.10 | $3.52 – $10.12 |
| indian river hospital | Vero Beach, FL | $48.10 | $2.81 – $12.00 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $48.53 | $5.84 – $93.73 |
| United Hospital Center | Bridgeport, WV | $49.00 | $6.49 – $10.85 |
| Camden Clark Medical Center | Parkersburg, WV | $49.00 | $6.49 – $10.85 |
| cleveland clinic florida weston hospital | Weston, FL | $49.40 | $2.89 – $76.00 |