Lab tests CPT 84436 Inpatient — admitted to hospital

Total T4 test cost in Spokane, WA — inpatient

In Spokane-Spokane Valley, WA, 4 hospitals list a cash price for total thyroxine (T4) blood test as an inpatient: from $51.10 to $114.10, with a median of $92.05. The lowest listed price is at Prov Sacred Hrt Medical Center & Childs Hospital — $40.95 less than the median here. Across Washington, the median is $56.00 at 57 hospitals.

Cash prices at 4 facilities across 3 cities for code 84436, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$51.10Prov Sacred Hrt Medical Center & Childs Hospital

Median$92.05half of hospitals charge less

Highest$114.10in this market

Difference2.2×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 Spokane-Spokane Valley, WA.

median

Lowest $51.10Highest $114.10

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Prov Sacred Hrt Medical Center & Childs Hospital lowest Spokane, WA · (509) 474-3131 HC THYROXINE T4+2 more lines at this price File of Apr 1, 2026 · source file	$51.10	$73.00	—	30%
Providence St Joseph Hospital Chewelah, WA · (509) 935-8211 HC THYROXINE T4+2 more lines at this price File of Apr 1, 2026 · source file	$84.00	$120.00	—	30%
Providence Mount Carmel Hospital Colville, WA · (509) 684-2561 HC THYROXINE TOTAL+2 more lines at this price File of Apr 1, 2026 · source file	$100.10	$143.00	—	30%
Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC THYROXINE T4+2 more lines at this price File of Apr 1, 2026 · source file	$114.10	$163.00	—	30%

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 $51.10, median $92.05, highest $114.10 — a 2.2× difference within the same market.

As an outpatient, the same code is billed by 5 facilities here, median $84.00 — that is the price to compare if you are not being admitted.

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.