Total T4 test cost in Birmingham, AL
In Birmingham, AL, 8 hospitals list a cash price for total thyroxine (T4) blood test: from $5.25 to $272.00, with a median of $77.04. The lowest listed price is at UAB Medical West — $71.79 less than the median here. Across Alabama, the median is $53.07 at 47 hospitals.
Cash prices at 8 facilities across 4 cities for code 84436, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jun 22, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Birmingham, AL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| UAB Medical West lowest Bessemer, AL · (205) 481-7000 Thyroid Profile 1of4 File of Jun 22, 2026 · source file | $5.25 | $7.00 | $1.72–$9.45 | 25% |
| UAB Medical West Bessemer, AL · (205) 481-7000 Thyroxine Total Assay 1of2 File of Jun 22, 2026 · source file | $10.50 | $14.00 | $3.43–$12.60 | 25% |
| Grandview Medical Center Birmingham, AL · (205) 971-1000 THYROXINE T4,TOTAL+1 more line at this price File of Apr 1, 2026 · source file | $16.50 | $110.00 | $4.80–$99.00 | 85% |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham, AL · (205) 939-9100 HC Assay of Total Thyroxine - T4 (Thyroid Hormone)+1 more line at this price source file | $53.07 | $123.42 | $74.05–$111.08 | 57% |
| The Children's Hospital of Alabama Birmingham, AL HC Assay of Total Thyroxine - T4 (Thyroid Hormone) source file | $53.07 | $123.42 | $83.93–$111.08 | 57% |
| UAB Medical West Bessemer, AL · (205) 481-7000 T-4 By Ria File of Jun 22, 2026 · source file | $84.75 | $113.00 | $6.80–$101.70 | 25% |
| Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Hb Assay Of Total Thyroxine - T4 (Thyroid Hormone) File of Apr 1, 2026 · source file | $101.00 | $101.00 | — | — |
| UAB Medical West Bessemer, AL · (205) 481-7000 T4 Total File of Jun 22, 2026 · source file | $119.25 | $159.00 | $6.80–$143.10 | 25% |
| UAB Medical West Bessemer, AL · (205) 481-7000 Thyroid Profile/Tsh 3of3 File of Jun 22, 2026 · source file | $150.00 | $200.00 | $6.80–$180.00 | 25% |
| Baptist Health Walker Hospital Jasper, AL · (205) 387-4000 Hb Assay Of Total Thyroxine - T4 (Thyroid Hormone) File of Apr 1, 2026 · source file | $272.00 | $272.00 | — | — |
| Baptist Health Princeton Hospital Birmingham, AL · (205) 783-3800 Hb Assay Of Total Thyroxine - T4 (Thyroid Hormone) File of Apr 1, 2026 · source file | $272.00 | $272.00 | — | — |
| Baptist Health Shelby Hospital Alabaster, AL · (205) 620-8100 Hb Assay Of Total Thyroxine - T4 (Thyroid Hormone) File of Apr 1, 2026 · source file | $272.00 | $272.00 | — | — |
Outpatient: lowest $5.25, median $77.04, highest $272.00 — a 51.8× difference within the same market.
As an inpatient, the same code is billed by 8 facilities here, median $77.04. 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 4 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is 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.