Total T4 test cost in Virginia Beach, VA
In Virginia Beach-Chesapeake-Norfolk, VA-NC, 12 hospitals list a cash price for total thyroxine (T4) blood test: from $6.00 to $85.30, with a median of $24.30. The lowest listed price is at Sentara Norfolk General Hospital and 5 other hospitals — $18.30 less than the median here. Across Virginia, the median is $55.09 at 64 hospitals.
Cash prices at 12 facilities across 8 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 Mar 11, 2026 and Jul 1, 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 Virginia Beach-Chesapeake-Norfolk, VA-NC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Sentara Norfolk General Hospital lowest Norfolk, VA · (757) 388-3000 Chgl (Qu) Thyroid Panel, S/O File of Apr 1, 2026 · source file | $6.00 | $12.00 | — | 50% |
| Sentara Careplex Hospital lowest Hampton, VA · (757) 827-2545 Chgl (Qu) Thyroid Panel, S/O File of Apr 1, 2026 · source file | $6.00 | $12.00 | — | 50% |
| Hospital for Extended Recovery lowest Norfolk, VA · (757) 388-3000 Chgl (Qu) Thyroid Panel, S/O File of Apr 1, 2026 · source file | $6.00 | $12.00 | — | 50% |
| Sentara Virginia Beach General Hospital lowest Virginia Beach, VA · (757) 395-8000 Chgl (Qu) Thyroid Panel, S/O File of Apr 1, 2026 · source file | $6.00 | $12.00 | — | 50% |
| Sentara Princess Anne Hospital lowest Virginia Beach, VA · (757) 507-1520 Chgl (Qu) Thyroid Panel, S/O File of Apr 1, 2026 · source file | $6.00 | $12.00 | — | 50% |
| Sentara Leigh Hospital lowest Norfolk, VA · (757) 261-6700 Chgl (Qu) Thyroid Panel, S/O File of Apr 1, 2026 · source file | $6.00 | $12.00 | — | 50% |
| Mary Immaculate Hospital Newport News, VA · (757) 886-6000 HC Assay of Thyroxine Total File of Apr 1, 2026 · source file | $42.60 | $71.00 | — | 40% |
| Bon Secours Harbour View Medical Center Suffolk, VA · (757) 673-5917 HC Assay of Thyroxine Total File of Apr 1, 2026 · source file | $42.60 | $71.00 | — | 40% |
| Bon Secours Maryview Medical Center Portsmouth, VA · (757) 398-2200 HC Assay of Thyroxine Total File of Apr 1, 2026 · source file | $42.60 | $71.00 | — | 40% |
| Riverside Smithfield Hospital Smithfield, VA T4 File of Mar 11, 2026 · source file | $47.46 | $94.91 | — | 50% |
| Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 FREE THYROX INDEX, T4 File of Mar 17, 2026 · source file | $64.74 | $71.93 | $6.87–$68.33 | 10% |
| Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 TOTAL T4+1 more line at this price File of Mar 17, 2026 · source file | $67.98 | $75.53 | $6.87–$71.75 | 10% |
| Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 T4 TEST(THYROXINE) File of Mar 17, 2026 · source file | $78.70 | $87.44 | $6.87–$83.07 | 10% |
| Chesapeake General Hospital Chesapeake, VA · (757) 312-8121 Hc Assay Of Thyroxine Total+1 more line at this price File of Jul 1, 2026 · source file | $85.30 | $142.16 | — | 40% |
| Bon Secours Harbour View Medical Center Suffolk, VA · (757) 673-5917 HC So Thyroxine Total File of Apr 1, 2026 · source file | $102.00 | $170.00 | — | 40% |
| Bon Secours Maryview Medical Center Portsmouth, VA · (757) 398-2200 HC So Thyroxine Total File of Apr 1, 2026 · source file | $102.00 | $170.00 | — | 40% |
| Mary Immaculate Hospital Newport News, VA · (757) 886-6000 HC So Thyroxine Total File of Apr 1, 2026 · source file | $102.00 | $170.00 | — | 40% |
| Hospital for Extended Recovery Norfolk, VA · (757) 388-3000 Chgl T4 (P) File of Apr 1, 2026 · source file | $121.50 | $243.00 | — | 50% |
| Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl T4 (P) File of Apr 1, 2026 · source file | $121.50 | $243.00 | — | 50% |
| Sentara Careplex Hospital Hampton, VA · (757) 827-2545 Chgl T4 (P) File of Apr 1, 2026 · source file | $121.50 | $243.00 | — | 50% |
| Sentara Virginia Beach General Hospital Virginia Beach, VA · (757) 395-8000 Chgl T4 (P) File of Apr 1, 2026 · source file | $121.50 | $243.00 | — | 50% |
| Sentara Norfolk General Hospital Norfolk, VA · (757) 388-3000 Chgl T4 (P) File of Apr 1, 2026 · source file | $121.50 | $243.00 | — | 50% |
| Sentara Princess Anne Hospital Virginia Beach, VA · (757) 507-1520 Chgl T4 (P) File of Apr 1, 2026 · source file | $121.50 | $243.00 | — | 50% |
| Sentara Virginia Beach General Hospital Virginia Beach, VA · (757) 395-8000 Chgl Thyroxine File of Apr 1, 2026 · source file | $128.00 | $256.00 | — | 50% |
| Sentara Princess Anne Hospital Virginia Beach, VA · (757) 507-1520 Chgl Thyroxine File of Apr 1, 2026 · source file | $128.00 | $256.00 | — | 50% |
| Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl Thyroxine File of Apr 1, 2026 · source file | $128.00 | $256.00 | — | 50% |
| Hospital for Extended Recovery Norfolk, VA · (757) 388-3000 Chgl Thyroxine File of Apr 1, 2026 · source file | $128.00 | $256.00 | — | 50% |
| Sentara Norfolk General Hospital Norfolk, VA · (757) 388-3000 Chgl Thyroxine File of Apr 1, 2026 · source file | $128.00 | $256.00 | — | 50% |
| Sentara Careplex Hospital Hampton, VA · (757) 827-2545 Chgl Thyroxine File of Apr 1, 2026 · source file | $128.00 | $256.00 | — | 50% |
Outpatient: lowest $6.00, median $24.30, highest $85.30 — a 14.2× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $6.00. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.