Lab tests CPT 84436 Outpatient

Total T4 test cost in Huntington, WV

In Huntington-Ashland, WV-KY-OH, 4 hospitals list a cash price for total thyroxine (T4) blood test: from $50.92 to $166.92, with a median of $91.61. The lowest listed price is at King's Daughters' Medical Center — $40.69 less than the median here. Across West Virginia, the median is $45.50 at 34 hospitals.

Cash prices at 4 facilities across 3 cities for code 84436, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 2, 2026; the hospital files themselves were last updated between Sep 17, 2026 and Sep 25, 2026.

Lowest$50.92King's Daughters' Medical Center

Median$91.61half of hospitals charge less

Highest$166.92in this market

Difference3.3×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 Huntington-Ashland, WV-KY-OH.

median

Lowest $50.92Highest $166.92

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
King's Daughters' Medical Center lowest Ashland, KY · (606) 408-4401 HCHG T4+1 more line at this price File of Sep 25, 2026 · source file	$50.92	$127.28	$5.15–$114.55	60%
St. Mary’s Medical Center Huntington, WV · (304) 526-1234 Thyroxine+1 more line at this price source file	$59.12	$59.12	$49.55–$59.12	—
Three Rivers Medical Center Louisa, KY · (606) 638-9451 Thyroxine (thyroid chemical), total File of Sep 17, 2026 · source file	$124.09	$206.82	$5.84–$217.16	40%
Cabell Huntington Hospital Huntington, WV · (304) 526-2000 Thyroxine+1 more line at this price source file	$166.92	$166.92	$139.91–$166.92	—

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.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $50.92, median $91.61, highest $166.92 — a 3.3× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $59.12. 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 2 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 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.