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 |
|---|---|---|---|
| UnityPoint Health - Marshalltown | Marshalltown, IA | $55.00 | $4.12 – $33.00 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $55.00 | $4.12 – $44.69 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $55.00 | $4.12 – $26.95 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $55.00 | $3.50 – $30.32 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $55.00 | $3.50 – $28.19 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $55.00 | $4.12 – $58.44 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $55.00 | $4.12 – $25.78 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $55.25 | $6.66 – $85.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $55.25 | $6.66 – $85.00 |
| 64-0663760 BMH Booneville | Booneville, MS | $55.44 | $6.60 – $19.24 |
| Redwood Memorial Hospital | Fortuna, CA | $55.59 | $80.60 – $80.60 |
| Providence St Joseph Hospital Orange | Orange, CA | $55.68 | $5.84 – $13.74 |
| Mercy Hospital Tishomingo | Tishomingo, OK | $56.55 | $6.11 – $8.59 |
| Healdsburg Hospital | Healdsburg, CA | $56.61 | $6.87 – $32.08 |
| CHI Health St. Francis | Grand Island, NE | $56.64 | $6.66 – $90.24 |
| CHI Health Good Samaritan | Kearney, NE | $57.34 | $6.66 – $87.42 |
| CASTLE MEDICAL CENTER | Kailua, HI | $57.60 | $6.87 – $315.00 |
| 39-3714515 BMH Oktibbeha County | STARKVILLE, MS | $57.60 | $2.89 – $14.43 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $57.78 | $2.30 – $420.75 |
| ST HELENA HOSPITAL | Vallejo, CA | $58.35 | $0.55 – $79.40 |
| St. John's Camarillo Hospital | Camarillo, CA | $58.70 | $1.77 – $18.25 |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $58.80 | $5.75 – $29.90 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $58.80 | $5.06 – $29.90 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $58.80 | $4.14 – $29.90 |
| Mercy Hospital Pittsburg | Pittsburg, KS | $59.15 | $6.11 – $37.94 |
| St Elias Specialty Hospital | Anchorage, AK | $59.22 | $6.66 – $13.68 |
| TWIN CITIES COMMUNITY HOSPITAL | Templeton, CA | $59.36 | $6.87 – $1,102.40 |
| Mercy Hospital Logan County | Guthrie, OK | $59.80 | $6.11 – $52.63 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $59.94 | $7.83 – $40.57 |
| Massena Hospital | Massena, NY | $60.05 | $6.87 – $53.02 |
| Defiance Hospital | Defiance, OH | $61.20 | not published |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $62.25 | $5.77 – $28.26 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $62.25 | $5.77 – $28.26 |
| Mercy Hospital Healdton | Healdton, OK | $62.40 | $6.11 – $8.59 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | $63.00 | $2.65 – $22.67 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $63.00 | $2.65 – $15.66 |
| Morrow County Hospital | Mount Gilead, OH | $64.81 | $3.39 – $44.61 |
| Kadlec Regional Medical Center | Richland, WA | $65.10 | $6.87 – $26.86 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $65.28 | $6.87 – $80.41 |
| Trinity Medical Center East | Steubenville, OH | $65.96 | $3.39 – $89.11 |
| Ascension Providence | Waco, TX | $66.15 | $5.77 – $30.30 |
| St Jude Medical Center | Fullerton, CA | $66.24 | $5.84 – $13.74 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $67.10 | $5.15 – $13.26 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $67.10 | $6.87 – $13.87 |
| SSM Health Ripon Community Hospital | Ripon, WI | $67.10 | $6.87 – $13.87 |
| Mercy Hospital Carthage | Carthage, MO | $67.60 | $6.11 – $25.44 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $67.60 | $5.59 – $15.16 |
| WILLITS HOSPITAL INC | Willits, CA | $67.80 | $7.87 – $82.04 |
| CHI Health Mercy Corning | Corning, IA | $68.16 | $6.87 – $20.58 |
| Springfield Medical Center | Springfield, OH | $68.40 | not published |