Lab tests CPT 84436 Outpatient

Total T4 test cost in Harrisburg, PA

In Harrisburg-Carlisle, PA, 6 hospitals list a cash price for total thyroxine (T4) blood test: from $7.72 to $34.20, with a median of $14.54. The lowest listed price is at Pennsylvania Psychiatric Institute — $6.82 less than the median here. Across Pennsylvania, the median is $45.00 at 95 hospitals.

Cash prices at 6 facilities across 5 cities for code 84436, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 28, 2026; the hospital files themselves were last updated between — and —.

Lowest$7.72Pennsylvania Psychiatric Institute
Median$14.54half of hospitals charge less
Highest$34.20in this market
Difference4.4×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 Harrisburg-Carlisle, PA.

median
Lowest $7.72Highest $34.20

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Pennsylvania Psychiatric Institute lowest Harrisburg, PA · (717) 782-4742 84436 ASSAY OF TOTAL THYROXINE Tech source file $7.72 $45.00 $16.96–$36.00 83%
Penn State Health Holy Spirit Medical Center Camp Hill, PA · (717) 763-2100 84436 ASSAY OF TOTAL THYROXINE Tech+1 more line at this price source file $10.75 $45.00 $5.84–$36.00 76%
Penn State Health Hampden Medical Center Enola, PA · (717) 981-9000 84436 T4(Thyroxine),Total-QST Tech+1 more line at this price source file $14.16 $45.00 $5.84–$36.00 69%
Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 Total T4 Level.+2 more lines at this price source file $14.91 $45.00 $5.84–$36.00 67%
UPMC Pinnacle Hospitals Harrisburg, PA · (717) 782-3131 HC T4 (THYROID HORMONE)+2 more lines at this price source file $34.20 $57.00 $6.80–$53.13 40%
UPMC Carlisle Carlisle, PA · (717) 249-1212 HC T4 FREE DIALYSIS - A+2 more lines at this price source file $34.20 $57.00 $6.80–$48.45 40%
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.
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.
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.
Off list How much lower the cash price is than the list price.

Outpatient: lowest $7.72, median $14.54, highest $34.20 — a 4.4× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $14.54. 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 6 of 6 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.