Total T4 test cost in Seattle, WA — inpatient
In Seattle-Tacoma-Bellevue, WA, 18 hospitals list a cash price for total thyroxine (T4) blood test as an inpatient: from $10.80 to $56.00, with a median of $35.79. The lowest listed price is at Overlake Medical Center & Clinics — $24.99 less than the median here. Across Washington, the median is $56.00 at 57 hospitals.
Cash prices at 18 facilities across 14 cities for code 84436, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Apr 14, 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 Seattle-Tacoma-Bellevue, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Overlake Medical Center & Clinics lowest Bellevue, WA · (425) 688-5000 Hc Thyroxine (T4) File of Apr 1, 2026 · source file | $10.80 | $21.60 | — | 50% |
| Franciscan Specialty Care Tacoma, WA T4 File of Mar 16, 2026 · source file | $24.75 | $24.75 | $24.75 | — |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 THYROXINE-TOTAL File of Jan 1, 2026 · source file | $24.99 | $49.00 | $31.38–$39.20 | 49% |
| Saint Clare Hospital Lakewood, WA · (253) 588-1711 HC T4 (THYROXINE) File of Feb 28, 2026 · source file | $29.69 | $102.98 | $74.15–$77.24 | 71% |
| St Anthony Hospital Gig Harbor, WA · (253) 530-2050 HC T4 (THYROXINE) File of Feb 28, 2026 · source file | $31.33 | $102.98 | $74.15–$77.24 | 70% |
| Highline Medical Center Burien, WA · (206) 431-5237 HC T4 (THYROXINE) File of Feb 28, 2026 · source file | $31.45 | $102.98 | $44.29–$92.69 | 69% |
| St Francis Community Hospital Federal Way, WA · (253) 944-8100 HC T4 (THYROXINE) File of Feb 28, 2026 · source file | $32.32 | $102.98 | $74.15–$77.24 | 69% |
| St Joseph Medical Center Tacoma, WA · (253) 627-4101 HC T4 (THYROXINE) File of Feb 28, 2026 · source file | $34.11 | $102.98 | $74.15–$77.24 | 67% |
| Snoqualmie Valley Hospital Snoqualmie, WA · (425) 831-2300 Facility Fee HC THYROXINE (T4) File of Apr 14, 2026 · source file | $35.19 | $60.68 | $6.73–$55.83 | 42% |
| St Elizabeth Hospital Enumclaw, WA · (360) 825-2505 HC T4 (THYROXINE) File of Feb 28, 2026 · source file | $36.39 | $102.98 | $28.84–$92.69 | 65% |
| Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 THYROXINE TOTAL File of Apr 1, 2026 · source file | $44.80 | $56.00 | $6.00–$20.00 | 20% |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC THYROXINE T4+1 more line at this price File of Apr 1, 2026 · source file | $49.44 | $103.00 | — | 52% |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC THYROXINE T4+1 more line at this price File of Apr 1, 2026 · source file | $49.44 | $103.00 | — | 52% |
| Swedish Medical Center Seattle, WA · (206) 386-6000 HC THYROXINE T4+1 more line at this price File of Apr 1, 2026 · source file | $49.44 | $103.00 | — | 52% |
| Swedish Edmonds Edmonds, WA · (425) 640-4000 HC THYROXINE T4+1 more line at this price File of Apr 1, 2026 · source file | $49.44 | $103.00 | — | 52% |
| Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC THYROXINE T4+1 more line at this price File of Apr 1, 2026 · source file | $53.56 | $103.00 | — | 48% |
| Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC T4-THYROXINE File of Mar 26, 2026 · source file | $53.60 | $67.00 | $5.70–$53.60 | 20% |
| Valley Medical Center Renton, WA · (425) 228-3450 Assay of Thyroxine Total File of Mar 12, 2026 · source file | $56.00 | $80.00 | — | 30% |
| Franciscan Specialty Care Tacoma, WA T-4 TOTAL (THYROXINE) File of Mar 16, 2026 · source file | $180.68 | $180.68 | $180.68 | — |
Inpatient: lowest $10.80, median $35.79, highest $56.00 — a 5.2× difference within the same market.
As an outpatient, the same code is billed by 17 facilities here, median $36.39 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 8 of 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 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.