Lab tests CPT 84436 Outpatient

Total T4 test cost in Bakersfield, CA

In Bakersfield-Delano, CA, 3 hospitals list a cash price for total thyroxine (T4) blood test: from $29.68 to $37.44, with a median of $34.51. The lowest listed price is at Good Samaritan Hospital — $4.83 less than the median here. Across California, the median is $39.20 at 185 hospitals.

Cash prices at 3 facilities for code 84436, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Feb 28, 2026.

Lowest$29.68Good Samaritan Hospital
Median$34.51half of hospitals charge less
Highest$37.44in this market
Difference1.3×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Bakersfield-Delano, CA.

median
Lowest $29.68Highest $59.36

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Good Samaritan Hospital lowest Bakersfield, CA · (661) 215-7500 ASSAY OF TOTAL THYROXINE source file $29.68 $42.40 $5.18–$126.00 30%
Mercy Hospital Bakersfield, CA · (661) 632-5000 MH-THYROXINE TOTAL File of Feb 28, 2026 · source file $34.51 $93.00 $6.87–$93.00 63%
Bakersfield Memorial Hospital Bakersfield, CA · (661) 327-1792 MH-THYROXINE TOTAL File of Feb 28, 2026 · source file $37.44 $102.00 $6.87–$102.00 63%
Bakersfield Memorial Hospital Bakersfield, CA · (661) 327-1792 THYROXINE TOTAL File of Feb 28, 2026 · source file $38.91 $106.00 $6.87–$106.00 63%
Mercy Hospital Bakersfield, CA · (661) 632-5000 THYROXINE TOTAL File of Feb 28, 2026 · source file $39.33 $106.00 $6.87–$106.00 63%
Good Samaritan Hospital Bakersfield, CA · (661) 215-7500 THYROXINE (THYROID CHEMICAL); TOTAL source file $59.36 $84.80 $5.18–$126.00 30%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.

Outpatient: lowest $29.68, median $34.51, highest $37.44 — a 1.3× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $155.73. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

A total T4 test measures all the thyroxine hormone in the blood, both bound and free. Most doctors now order free T4 (84439) instead, which is less affected by pregnancy and medicines.

What the price covers

The price usually covers running the test. The blood draw (36415) is often billed as a separate line.

9 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 84436 ($52.00). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Kern Valley Healthcare District Mountain Mesa, CAThyroxine (thyroid chemical), total $0.92 file
Bakersfield Memorial Hospital Bakersfield, CAH-T4-THYROXINE H7846 $2.21 file
Mercy Hospital Bakersfield, CAH-T4-THYROXINE H7846 $2.23 file
Bakersfield Memorial Hospital Bakersfield, CARL-A-FTIP 3005976B $2.41 file
Mercy Hospital Bakersfield, CARL-A-FTIP 3005976B $2.43 file
Ridgecrest Regional Hospital Ridgecrest, CAAssay of total thyroxine $3.18 file
Ridgecrest Regional Hospital Ridgecrest, CAT4 total (867) $3.18 file
Bakersfield Memorial Hospital Bakersfield, CAH-T4-THYROXINE 7844 $3.31 file
Mercy Hospital Bakersfield, CAH-T4-THYROXINE 7844 $3.34 file
File Link to the hospital's own price file.