Total T4 test cost in Charlotte, NC
In Charlotte-Concord-Gastonia, NC-SC, 20 hospitals list a cash price for total thyroxine (T4) blood test: from $68.88 to $477.50, with a median of $115.68. The lowest listed price is at Iredell Memorial Hospital — $46.80 less than the median here. Across North Carolina, the median is $80.44 at 62 hospitals.
Cash prices at 20 facilities across 14 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 Dec 1, 2025 and Sep 1, 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 Charlotte-Concord-Gastonia, NC-SC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Iredell Memorial Hospital lowest Statesville, NC · (704) 878-5661 Thyroxine | $68.88 | $255.10 | $6.14–$38.00 | 73% | Dec 31, 2025 source file |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB THYROXINE TOTAL | $103.00 | $206.00 | — | 50% | Apr 1, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 T4 Total | $108.81 | $403.00 | $117.27–$139.04 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 HC T4 TOTAL | $108.81 | $403.00 | $35.38–$261.95 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 T4 Total | $108.81 | $403.00 | $117.27–$139.04 | 73% | — source file |
| Carolinas Rehabilitation Belmont, NC HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$212.84 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$219.78 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$208.22 | 50% | Dec 4, 2025 source file |
| Atrium Health Behavioral Health Charlotte, NC HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $43.96–$231.35 | 50% | Dec 4, 2025 source file |
| Atrium Health University City Charlotte, NC · (704) 548-6000 HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$224.41 | 50% | Dec 5, 2025 source file |
| Atrium Health Union Monroe, NC · (704) 283-3100 HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$219.78 | 50% | Dec 4, 2025 source file |
| Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$219.78 | 50% | Dec 1, 2025 source file |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$212.84 | 50% | Dec 5, 2025 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte, NC HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$212.84 | 50% | Dec 4, 2025 source file |
| Atrium Health Anson Wadesboro, NC · (704) 694-5131 HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$219.78 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$208.22 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation Charlotte, NC HC ASSAY OF TOTAL THYROXINE T4 | $115.68 | $231.35 | $7.01–$212.84 | 50% | Dec 5, 2025 source file |
| Gaston Memorial Hospital Mount Holly, NC · (704) 834-4891 CHG T4 THYROXINE TOTAL | $116.00 | $116.00 | $3.33–$110.20 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont, NC · (704) 834-4891 CHG T4 THYROXINE TOTAL | $116.00 | $116.00 | $3.33–$110.20 | — | May 11, 2026 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia, NC · (704) 834-4891 CHG T4 THYROXINE TOTAL | $116.00 | $116.00 | $3.33–$110.20 | — | May 11, 2026 source file |
| Piedmont Medical Center Fort Mill, SC · (803) 329-1234 THYROXINE TOTAL | $164.25 | $219.00 | $1.00–$219.00 | 25% | Apr 15, 2026 source file |
| Piedmont Medical Center Rock Hill, SC · (803) 329-1234 THYROXINE TOTAL | $164.25 | $219.00 | $1.00–$219.00 | 25% | Sep 1, 2026 source file |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB THYROXINE TOTAL | $477.50 | $955.00 | — | 50% | Apr 1, 2026 source file |
Outpatient: lowest $68.88, median $115.68, highest $477.50 — a 6.9× difference within the same market.
As an inpatient, the same code is billed by 19 facilities here, median $115.68. 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 14 of 18 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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.