Free T4 thyroid test is a laboratory test. Prices are from 2328 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $71 — about 7.8× the Medicare rate ($9). High vs Medicare. A fair cash price is usually within ~2× Medicare ($18).
💡 Asking for the cash price instead of the $122 list price could save about $51 (42%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Cullman Regional Medical Center | Cullman, AL | $11 | $29 | ★ 2/5 | 158 min | 16.6% |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $11 | $9 | — | — | 14.4% |
| NYU Langone Hospitals | New York, NY | $11 | $23 | ★ 5/5 | 206 min | 13.1% |
| Geneva General Hospital | Geneva, NY | $11 | $10 | ★ 2/5 | 183 min | 16.9% |
| Soldiers and Sailors Memorial Hospital of Yates | Penn Yan, NY | $11 | $12 | — | 110 min | 15.0% |
| Banner-University Medical Center South Campus | Tucson, AZ | $11 | $12 | ★ 4/5 | 275 min | 14.5% |
| Hurley Medical Center | Flint, MI | $11 | $9 | ★ 2/5 | 169 min | 15.6% |
| McBride Orthopedic Hospital | Oklahoma City, OK | $11 | $72 | — | 63 min | 14.9% |
| Acadia General Hospital | Crowley, LA | $11 | $9 | ★ 3/5 | 108 min | 15.4% |
| Wakemed, Raleigh Campus | Raleigh, NC | $11 | $14 | ★ 4/5 | 204 min | 13.9% |
| Wakemed, Cary Hospital | Cary, NC | $11 | $14 | ★ 5/5 | 195 min | 14.6% |
| Banner-University Medical Center Tucson Campus | Tucson, AZ | $11 | $11 | ★ 3/5 | 306 min | 14.6% |
| Ochsner St Mary | Morgan City, LA | $12 | $9 | ★ 2/5 | 81 min | 15.4% |
| Ochsner LSU Health Shreveport-St Mary Medical Cent | Shreveport, LA | $12 | $9 | ★ 2/5 | — | — |
| Baptist Health Medical Center Heber Springs | Heber Springs, AR | $12 | $15 | ★ 3/5 | 115 min | 15.2% |
| Baptist Health Medical Center-Arkadelphia | Arkadelphia, AR | $12 | $15 | — | 95 min | 15.2% |
| University of Michigan Health-Sparrow Eaton | Charlotte, MI | $12 | $16 | ★ 1/5 | 152 min | 15.0% |
| Saint Thomas Hospital for Spinal Surgery | Nashville, TN | $12 | $17 | — | — | 14.0% |
| Alamance Regional Medical Center | Burlington, NC | $12 | $17 | ★ 3/5 | 218 min | 13.7% |
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | $12 | $17 | ★ 3/5 | 222 min | 13.9% |
| Hills & Dales General Hospital | Cass City, MI | $12 | $47 | ★ 4/5 | 94 min | 14.7% |
| Stanford Health Care Tri-Valley | Pleasanton, CA | $12 | $9 | ★ 5/5 | 211 min | 14.0% |
| Stanford Health Care | Stanford, CA | $12 | $9 | ★ 5/5 | 275 min | 14.7% |
| North Texas Medical Center | Gainesville, TX | $12 | $29 | ★ 4/5 | 121 min | 14.9% |
| Mercy Medical Center of Mt Shasta | Mount Shasta, CA | $12 | $9 | ★ 4/5 | 96 min | 14.7% |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Free T4 thyroid test
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $71; Medicare pays $9.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Amerigroup | 176 |
$7 – $51 |
| Tricare / VA | 455 |
$9 – $82 |
| Medicare | 589 |
$9 – $54 |
| Medicaid | 369 |
$5 – $90 |
| EmblemHealth | 63 |
$9 – $69 |
| Independent Health | 50 |
$8 – $14 |
| UnitedHealthcare | 1562 |
$8 – $121 |
| Devoted Health | 241 |
$9 – $11 |
| Univera | 16 |
$8 – $13 |
| MVP Health Care | 81 |
$8 – $107 |
| AmeriHealth | 242 |
$8 – $57 |
| Molina Healthcare | 568 |
$8 – $64 |
| UPMC Health Plan | 87 |
$9 – $58 |
| Bright Health | 65 |
$9 – $19 |
| Highmark | 129 |
$6 – $43 |
| Geisinger | 68 |
$9 – $50 |
| Centene / Ambetter | 840 |
$9 – $86 |
| Oscar Health | 205 |
$9 – $119 |
| Humana | 1087 |
$9 – $113 |
| Health Net | 314 |
$9 – $215 |
| Anthem | 595 |
$8 – $89 |
| Kaiser Permanente | 229 |
$8 – $139 |
| SelectHealth | 49 |
$9 – $129 |
| UCare | 60 |
$9 – $75 |
| Priority Health | 61 |
$6 – $102 |
| Blue Cross Blue Shield | 1357 |
$9 – $144 |
| Aetna | 1446 |
$9 – $158 |
| Harvard Pilgrim | 58 |
$9 – $107 |
| Medica | 242 |
$9 – $130 |
| Cigna | 1211 |
$9 – $175 |
| HealthPartners | 263 |
$9 – $121 |
| Workers' Comp / No-Fault | 151 |
$12 – $205 |
| AvMed | 59 |
$10 – $182 |
| Sanford Health Plan | 69 |
$15 – $108 |
| Security Health Plan | 50 |
$9 – $84 |
| Coventry | 165 |
$9 – $242 |
| MultiPlan / PHCS network | 869 |
$16 – $299 |
| Healthcare Highways | 51 |
$28 – $263 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| New Jersey | $23 |
| Tennessee | $28 |
| Rhode Island | $32 |
| Mississippi | $36 |
| Arkansas | $39 |
| Arizona | $40 |
Prices by city
Prices by state
About these prices
Based on prices published by 2328 US hospitals across 52 states, the typical (median) cash price is $71, versus a chargemaster (list) price around $122, a median insurer-negotiated rate of $20, a Medicare rate of about $9. Most cash prices fall between $18 and $221 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Free T4 thyroid test cost without insurance?
What does Medicare pay for Free T4 thyroid test?
Why do Free T4 thyroid test prices vary between hospitals?
Is the cash price lower than using insurance?
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