Free T4 test cost in Des Moines, IA
In Des Moines-West Des Moines, IA, 4 hospitals list a cash price for free T4 (free thyroxine) thyroid blood test: from $22.40 to $202.15, with a median of $94.83. The lowest listed price is at UnityPoint Health - Des Moines Iowa Methodist Medical — $72.43 less than the median here. Across Iowa, the median is $61.18 at 37 hospitals.
Cash prices at 4 facilities across 3 cities for code 84439, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Mar 31, 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 Des Moines-West Des Moines, IA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| UnityPoint Health - Des Moines Iowa Methodist Medical lowest Des Moines, IA · (515) 343-1000 ASSAY OF FREE THYROXINE | $22.40 | $28.00 | $5.41–$14.75 | 20% | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical lowest Des Moines, IA · (515) 343-1000 ASSAY OF FREE THYROXINE | $22.40 | $28.00 | $5.41–$14.75 | 20% | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 HC FREE THYROXINE | $55.00 | $68.75 | $9.02–$29.77 | 20% | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 HC FREE THYROXINE | $55.00 | $68.75 | $9.02–$29.77 | 20% | Jan 28, 2026 source file |
| Mercy Medical Center - Newton Newton, IA · (641) 792-1273 HC Warde T4 (Thyroxine) Free | $78.65 | $121.00 | $8.74–$121.00 | 35% | Mar 31, 2026 source file |
| Mercy Medical Center - Newton Newton, IA · (641) 792-1273 HC Mayo T4 (Thyroxine) Free Dialysis | $78.65 | $121.00 | $8.74–$121.00 | 35% | Mar 31, 2026 source file |
| Mercy Medical Center - Newton Newton, IA · (641) 792-1273 HC T4 (Thyroxine) Free | $78.65 | $121.00 | $8.74–$121.00 | 35% | Mar 31, 2026 source file |
| Catholic Health Initiatives-Iowa West Des Moines, IA HC Warde T4 (Thyroxine) Free | $111.00 | $111.00 | $8.74–$111.00 | — | Mar 31, 2026 source file |
| Catholic Health Initiatives-Iowa West Des Moines, IA HC Mayo T4 (Thyroxine) Free Dialysis | $111.00 | $111.00 | $8.74–$111.00 | — | Mar 31, 2026 source file |
| Catholic Health Initiatives-Iowa West Des Moines, IA HC T4 (Thyroxine) Free | $111.00 | $111.00 | $8.74–$111.00 | — | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC T4 (Thyroxine) Free | $202.15 | $311.00 | $8.74–$311.00 | 35% | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC Warde T4 (Thyroxine) Free | $202.15 | $311.00 | $8.74–$311.00 | 35% | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC Mayo T4 (Thyroxine) Free Dialysis | $246.35 | $379.00 | $8.74–$379.00 | 35% | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC T4 (Thyroxine) Free | $38,275.10 | — | $9.02–$12,818.00 | — | Mar 31, 2026 source file |
Outpatient: lowest $22.40, median $94.83, highest $202.15 — a 9.0× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $94.83. 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 2 of 4 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 free T4 test measures thyroxine that is not bound to proteins, the active form of the main thyroid hormone. It is usually ordered with or after a TSH test to check for an underactive or overactive thyroid and to adjust thyroid medicine.
What the price covers
The price usually covers the free T4 test only. The blood draw and the TSH test (84443) are billed separately.