Lab tests CPT 84436 Inpatient — admitted to hospital

Total T4 test cost in Omaha, NE — inpatient

In Omaha, NE-IA, 10 hospitals list a cash price for total thyroxine (T4) blood test as an inpatient: 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 10 facilities across 5 cities for code 84436, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 14, 2026 and Feb 28, 2026.

Lowest$10.29Alegent Health Community Memorial Hospital of Missouri Valley, Iowa
Median$28.98half of hospitals charge less
Highest$82.50in this market
Difference8.0×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 Omaha, NE-IA.

median
Lowest $10.29Highest $82.50

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff 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 $11.97–$20.58 51%
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 — 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 $32.00 64%
CHI Health Lakeside Omaha, NE · (402) 717-8000 HC T4 File of Feb 28, 2026 · source file $28.98 $69.00 $41.40–$58.65 58%
Alegent Health Immanuel Medical Center Omaha, NE · (402) 572-2121 HC T4 File of Feb 28, 2026 · source file $28.98 $69.00 $41.40–$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 $41.40–$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 $41.40–$58.65 58%
Lasting Hope Recovery Center Omaha, NE HC T4 File of Feb 28, 2026 · source file $28.98 $69.00 $41.40–$58.65 58%
CHI Health Midlands Papillion, NE · (402) 593-3000 HC T4 File of Feb 28, 2026 · source file $28.98 $69.00 $41.40–$58.65 58%
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 $80.94–$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%
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.

Inpatient: lowest $10.29, median $28.98, highest $82.50 — a 8.0× difference within the same market.

As an outpatient, the same code is billed by 14 facilities here, median $28.98 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 8 of 8 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 8 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.