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 |
|---|---|---|---|
| Swedish Medical Center Cherry Hill | Seattle, WA | $49.44 | $6.18 – $31.26 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $49.44 | $6.18 – $32.29 |
| Swedish Issaquah | Issaquah, WA | $49.44 | $6.18 – $32.29 |
| Swedish Edmonds Hospital | Edmonds, WA | $49.44 | $6.87 – $30.92 |
| Wetzel County Hospital | New Martinsville, WV | $49.50 | $6.49 – $10.85 |
| UPMC Cole | Coudersport, PA | $49.80 | $4.47 – $66.40 |
| Childrens Specialized Hospital | Mountainside, NJ | $50.00 | $5.50 – $5.67 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $50.05 | $6.87 – $10.07 |
| Providence Seaside Hospital | Seaside, OR | $50.25 | not published |
| Adventhealth Port Charlotte | Port Charlotte, FL | $50.47 | $6.87 – $12.54 |
| Reynolds Memorial Hospital | Glen Dale, WV | $50.50 | $4.47 – $10.85 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | $50.80 | $6.87 – $114.30 |
| Southampton Medical Center | Franklin, VA | $51.00 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $51.10 | $6.87 – $24.73 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $51.12 | $2.55 – $80.35 |
| Carrier Clinic | Belle Mead, NJ | $51.20 | not published |
| Gouverneur Hospital | Gouverneur, NY | $51.28 | $5.76 – $89.35 |
| Southeastern Medical Center | Cambridge, OH | $51.35 | $6.87 – $7.14 |
| Jackson General Hospital | Ripley, WV | $51.50 | not published |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | $51.69 | $6.23 – $122.41 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $52.25 | $2.08 – $70.10 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $52.50 | $6.87 – $14.58 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $52.50 | $6.87 – $7.56 |
| Mercy Hospital Ozark | River Ozark, AR | $52.65 | $6.11 – $28.45 |
| Mercy Hospital Paris | Academy Paris, AR | $52.65 | $6.11 – $28.45 |
| Mercy Hospital Waldron | Waldron, AR | $52.65 | $6.11 – $28.45 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $52.65 | $32.07 – $81.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $52.65 | $6.73 – $81.00 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $52.65 | $30.96 – $81.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $52.65 | $6.73 – $81.00 |
| MercyOne Newton Medical Center | Newton, IA | $52.65 | $6.66 – $81.00 |
| Mercy Hospital Boonville | Booneville, AR | $52.65 | $6.11 – $28.45 |
| Southside Regional Medical Center | Petersburg, VA | $52.80 | not published |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $52.80 | $22.67 – $59.40 |
| Sanford Sheldon Medical Center | Sheldon, IA | $52.80 | $18.81 – $59.40 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $52.80 | $22.67 – $59.40 |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $52.82 | $5.84 – $134.68 |
| Barnesville Hospital | Barnesville, OH | $53.00 | $3.39 – $3.39 |
| MultiCare Capital Medical Center | Olympia, WA | $53.20 | $6.73 – $13.92 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $53.30 | $6.11 – $15.16 |
| Summersville Regional Medical Center | Summersville, WV | $53.50 | not published |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $53.56 | $6.87 – $28.85 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $53.76 | $5.84 – $13.74 |
| Mercy Hospital Watonga | Watonga, OK | $54.60 | $6.11 – $8.59 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $54.60 | $6.11 – $8.59 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $55.00 | $4.12 – $36.23 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $55.00 | $3.50 – $55.00 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $55.00 | $4.12 – $27.71 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $55.00 | $4.12 – $20.21 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $55.00 | $4.12 – $60.98 |