Total T4 test cost in Philadelphia, PA
In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 27 hospitals list a cash price for total thyroxine (T4) blood test: from $6.00 to $216.69, with a median of $42.00. The lowest listed price is at Lower Bucks Hospital and 1 other hospital — $36.00 less than the median here. Across Pennsylvania, the median is $45.00 at 95 hospitals.
Cash prices at 27 facilities across 22 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 Feb 26, 2026 and Sep 21, 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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Lower Bucks Hospital lowest Bristol, PA · (215) 785-9200 Hc Assay Of Total Thyroxine | $6.00 | $304.00 | $5.50–$243.20 | 98% | Sep 1, 2026 source file |
| Roxborough Memorial Hospital lowest Philadelphia, PA · (215) 483-9900 Hc Assay Of Total Thyroxine | $6.00 | $380.00 | $5.50–$368.60 | 98% | Sep 1, 2026 source file |
| Virtua West Jersey Hospital - Marlton Voorhees, NJ · (856) 247-3000 HC T4 Thyroxine | $21.80 | $218.00 | $6.60–$87.96 | 90% | — source file |
| Virtua West Jersey Hospital - Voorhees Voorhees, NJ · (856) 247-3000 HC T4 Thyroxine | $21.80 | $218.00 | $6.60–$87.96 | 90% | — source file |
| Virtua Memorial Hospital Mount Holly, NJ · (609) 267-0700 HC T4 Thyroxine | $21.80 | $218.00 | $6.60–$87.96 | 90% | — source file |
| Virtua Our Lady of Lourdes Camden, NJ · (856) 886-5373 HC T4 Thyroxine | $21.80 | $218.00 | $6.60–$87.96 | 90% | — source file |
| Virtua Willingboro Hospital Willinboro, NJ · (609) 835-2900 HC T4 Thyroxine | $21.80 | $218.00 | $6.60–$87.96 | 90% | — source file |
| Inspira Health Center Woodbury Woodbury, NJ T4 TOTAL | $23.27 | $23.27 | $4.45–$31.59 | — | Mar 24, 2026 source file |
| Inspira Medical Center Mullica Hill Mullica Hill, NJ · (856) 363-1000 T4 TOTAL | $23.27 | $23.27 | $4.71–$31.59 | — | Mar 24, 2026 source file |
| Inspira Medical Center Mannington Salem, NJ T4 TOTAL | $23.27 | $23.27 | $3.92–$31.59 | — | Mar 24, 2026 source file |
| Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 T4 TOTAL | $23.27 | $23.27 | $4.71–$31.59 | — | Mar 24, 2026 source file |
| Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Total T4-Thyroxine | $42.00 | $105.00 | — | 60% | Apr 1, 2026 source file |
| Paoli Hospital Paoli, PA · (610) 648-1000 Hc Total T4-Thyroxine | $42.00 | $105.00 | — | 60% | Apr 1, 2026 source file |
| The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 Hc Total T4-Thyroxine | $42.00 | $105.00 | — | 60% | — source file |
| Bryn Mawr Rehabilitation Hospital Malvern, PA Hc Total T4-Thyroxine | $42.00 | $105.00 | — | 60% | — source file |
| Lankenau Medical Center Wynnewood, PA · (610) 645-2000 Hc Total T4-Thyroxine | $42.00 | $105.00 | — | 60% | Apr 1, 2026 source file |
| Holy Redeemer Hospital and Medical Center Meadowbrook, PA · (215) 947-3000 Thyroxine (T4) | $45.20 | $75.33 | $6.87–$31.00 | 40% | Sep 21, 2026 source file |
| Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 Free Thyroxine Index Serum Child | $52.00 | $52.00 | — | — | — source file |
| Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 Free Thyroxine Index Serum Child | $52.00 | $52.00 | — | — | — source file |
| Shriners Childrens - Philadelphia Philadelphia, PA · (215) 430-4000 ASSAY OF TOTAL THYROXINE | $60.60 | $60.60 | $6.11–$14.72 | — | — source file |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Quest 7020 T4 (Thyroxine) Total | $68.25 | $105.00 | $6.87–$99.75 | 35% | Mar 31, 2026 source file |
| Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Quest 7020 T4 (Thyroxine) Total | $85.80 | $132.00 | $6.87–$473.55 | 35% | Mar 31, 2026 source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC T4 (Thyroxine) Total | $85.80 | $132.00 | $6.85–$132.00 | 35% | Mar 31, 2026 source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Quest 7020 T4 (Thyroxine) Total | $85.80 | $132.00 | $6.85–$132.00 | 35% | Mar 31, 2026 source file |
| Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC T4 (Thyroxine) Total | $85.80 | $132.00 | $6.87–$473.55 | 35% | Mar 31, 2026 source file |
| Union Hospital of Cecil County Elkton, MD · (410) 392-7009 T4 | $92.25 | $92.25 | — | — | Apr 1, 2026 source file |
| Union Hospital of Cecil County Elkton, MD · (410) 392-7009 HMD-T-4 | $95.75 | $95.75 | — | — | Apr 1, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest 7020 T4 (Thyroxine) Total | $107.90 | $166.00 | $6.73–$159.36 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest T4 (Thyroxine) Total | $107.90 | $166.00 | $6.73–$159.36 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC T4 (Thyroxine) Total | $107.90 | $166.00 | $6.73–$159.36 | 35% | Mar 31, 2026 source file |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC T4 (Thyroxine) Total | $131.30 | $202.00 | $6.87–$191.90 | 35% | Mar 31, 2026 source file |
| St Luke's Hospital - Grand View Campus Sellersville, PA · (215) 453-4000 HB ASSAY OF TOTAL THYROXINE | $149.40 | $166.00 | $6.87–$1,092.50 | 10% | Feb 26, 2026 source file |
| St Luke's Hospital - Upper Bucks Campus Quakertown, PA · (267) 985-1000 HB ASSAY OF TOTAL THYROXINE | $149.40 | $166.00 | $6.87–$137.48 | 10% | Feb 26, 2026 source file |
| The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Total T4(Thyroxine) | $216.69 | $216.69 | $12.83–$195.02 | — | — source file |
| Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 T4 Total Chemistry | $254.00 | $254.00 | — | — | — source file |
| Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 T4 Total Chemistry | $254.00 | $254.00 | — | — | — source file |
Outpatient: lowest $6.00, median $42.00, highest $216.69 — a 36.1× difference within the same market.
As an inpatient, the same code is billed by 18 facilities here, median $43.60. 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 16 of 20 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.
2 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 84436 ($52.20). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Nemours Children's Hospital, Delaware Wilmington, DECSF Igg Synthesis Index Quest Comp 11 | $5.00 | file |
| Nemours Children's Hospital, Delaware Wilmington, DECSF Igg Synthesis Index Quest Comp 11 | $5.00 | file |