Total T4 test cost in Omaha, NE
In Omaha, NE-IA, 14 hospitals list a cash price for total thyroxine (T4) blood test: from $10.29 to $82.50, with a median of $28.98. The lowest listed price is at Alegent Health Community Memorial Hospital of Missouri Valley, Iowa — $18.69 less than the median here. Across Nebraska, the median is $57.17 at 50 hospitals.
Cash prices at 14 facilities across 7 cities 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 14, 2026 and Aug 10, 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 Omaha, NE-IA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa lowest Missouri Valley, IA · (712) 642-2784 HC RHC T4 File of Feb 28, 2026 · source file | $10.29 | $21.00 | $6.87–$21.00 | 51% |
| Nebraska Medical Center Omaha, NE · (402) 559-4000 Thyroxine (thyroid chemical), total File of Aug 10, 2026 · source file | $11.05 | $17.00 | $1.17–$43.90 | 35% |
| Bellevue Medical Center Bellevue, NE · (402) 763-3600 Thyroxine (thyroid chemical), total File of Aug 10, 2026 · source file | $11.05 | $17.00 | $1.17–$43.90 | 35% |
| Methodist Jennie Edmundson Hospital Council Bluffs, IA · (712) 396-6000 Thyroxine Total T4 (not for screening) File of Feb 15, 2026 · source file | $18.60 | $62.00 | $6.66–$43.40 | 70% |
| Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Thyroxine Total T4 (not for screening)+1 more line at this price File of Feb 14, 2026 · source file | $23.04 | $64.00 | $6.66–$44.80 | 64% |
| Midwest Surgical Hospital Omaha, NE · (402) 399-1900 THYROXINE (THYROID CHEMICAL); TOTAL source file | $28.50 | $38.00 | $6.87–$14.01 | 25% |
| Alegent Health Immanuel Medical Center Omaha, NE · (402) 572-2121 HC T4 File of Feb 28, 2026 · source file | $28.98 | $69.00 | $6.66–$58.65 | 58% |
| CHI Health Mercy Council Bluffs Council Bluffs, IA · (712) 328-5000 HC T4 File of Feb 28, 2026 · source file | $28.98 | $69.00 | $6.66–$58.65 | 58% |
| CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC T4 File of Feb 28, 2026 · source file | $28.98 | $69.00 | $6.66–$58.65 | 58% |
| Lasting Hope Recovery Center Omaha, NE HC T4 File of Feb 28, 2026 · source file | $28.98 | $69.00 | $6.66–$58.65 | 58% |
| CHI Health Lakeside Omaha, NE · (402) 717-8000 HC T4 File of Feb 28, 2026 · source file | $28.98 | $69.00 | $6.66–$58.65 | 58% |
| CHI Health Midlands Papillion, NE · (402) 593-3000 HC T4 File of Feb 28, 2026 · source file | $28.98 | $69.00 | $6.66–$58.65 | 58% |
| Midwest Surgical Hospital Omaha, NE · (402) 399-1900 ASSAY OF TOTAL THYROXINE source file | $30.00 | $40.00 | $6.87–$14.01 | 25% |
| Memorial Community Hospital Blair, NE · (402) 426-1502 Thyroxine (thyroid chemical), total File of Jul 15, 2026 · source file | $64.35 | $80.43 | $5.53–$78.82 | 20% |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 HC T4 File of Feb 28, 2026 · source file | $69.58 | $142.00 | $6.87–$139.16 | 51% |
| Saunders Medical Center Wahoo, NE · (402) 443-4191 T4 Thyroxine Total (not/init/scrn) MHP source file | $82.50 | $110.00 | — | 25% |
Outpatient: lowest $10.29, median $28.98, highest $82.50 — a 8.0× difference within the same market.
As an inpatient, the same code is billed by 10 facilities here, median $28.98. 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 12 of 13 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.