Total T4 test cost in Iowa
In Iowa, 78 hospitals publish a cash price for total thyroxine (T4) blood test: from $8.80 to $303.00, with a median of $52.73. The lowest price is at Boone County Hospital (Boone). The highest price is 34.4× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 84436. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 29, 2026. See them on a map
Lowest$8.80Boone County Hospital
Median$52.73half pay less
Highest$303.00in Iowa
Lowest saves$43.93vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Boone County Hospital lowest Boone · Ames, IA Thyroxine (thyroid chemical), total | $8.80 | $11.00 | Jul 27, 2026 source file |
| Keokuk County Health Center Sigourney · Sigourney, IA T4 TOTAL ONLY (SO) | $9.10 | $13.00 | — source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC RHC T4 | $10.08 | $21.00 | Feb 28, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC RHC T4 | $10.29 | $21.00 | Feb 28, 2026 source file |
| Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA ASSAY OF TOTAL THYROXINE | $10.40 | $13.00 | — source file |
| Story County Hospital Nevada · Ames, IA FREE THYROXINE INDEX (FTI), S FRTUP Z/F1/C2/P1/V/Y/X/D/S/SA/N/QC/Q/W1 | $18.40 | $23.00 | — source file |
| Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA Thyroxine Total T4 (not for screening) | $18.60 | $62.00 | Feb 15, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Thyroxine (thyroid chemical), total | $21.00 | $21.00 | Jul 14, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA Thyroxine (T4)-Sendout | $22.80 | $38.00 | Mar 31, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Thyroxine (T4)-Sendout | $27.00 | $45.00 | Mar 31, 2026 source file |
| Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Thyroxine (thyroid chemical), total | $28.08 | $54.00 | Mar 3, 2026 source file |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Thyroxine (thyroid chemical), total | $28.50 | $71.25 | Aug 31, 2026 source file |
| Van Buren County Hospital Keosauqua · Keosauqua, IA Thyroxine (thyroid chemical), total | $28.70 | $41.00 | Jul 20, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC T4 | $28.98 | $69.00 | Feb 28, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA THYROXINE TOTAL T4 QC/V/Z/Y/A/B/D/E/F/G/J/L/M/N/O/P/Q/R/S/T/W1/S1/L1/P1/W1/PL/G1/F1/M2 | $29.00 | $37.00 | Oct 8, 2024 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS FREE THYROXINE INDEX S | $30.60 | $51.00 | Mar 31, 2026 source file |
| Loring Hospital Sac City · Sac City, IA HC THYROXINE; TOTAL | $30.75 | $38.44 | — source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA T4 THYROID TEST | $34.85 | $41.00 | — source file |
| Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Assay Of Total Thyroxine | $35.00 | $35.00 | Sep 1, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Thyroxine (thyroid chemical), total | $36.80 | $46.00 | Jul 27, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Thyroxine (thyroid chemical), total | $37.50 | $50.00 | Sep 2, 2026 source file |
| Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA FREE THYROXINE INDEX (FTI), S FRTUP Z/F1/C2/P1/V/Y/X/D/S/SA/N/QC/Q/W1 | $38.18 | $47.73 | Jun 29, 2026 source file |
| Virginia Gay Hospital Vinton · Cedar Rapids, IA Thyroxine (thyroid chemical), total | $38.40 | $48.00 | Aug 13, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Thyroxine (thyroid chemical), total | $38.41 | $65.10 | Jul 13, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA THYROXINE, TOTAL T4 QC/V/Z/Y/A/B/D/E/F/G/J/L/M/N/O/P/Q/R/S/T/W1/S1/L1/P1/W1/PL/G1/F1/M2 | $38.64 | $69.00 | — source file |
| Knoxville Hospital & Clinics Knoxville · Pella, IA Thyroxine (thyroid chemical), total | $39.60 | $66.00 | Jan 24, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Thyroxine (thyroid chemical), total | $40.00 | $50.00 | Sep 23, 2026 source file |
| Regional Medical Center Manchester · Manchester, IA ASSAY OF TOTAL THYROXINE | $45.60 | $57.00 | — source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA THYROXINE; TOTAL | $46.93 | $79.00 | Jun 27, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Thyroxine (thyroid chemical), total | $48.60 | $81.00 | Apr 22, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Thyroxine (thyroid chemical), total | $49.70 | $70.00 | Jul 1, 2026 source file |
| Monroe County Hospital Albia · Albia, IA Thyroxine (thyroid chemical), total | $49.80 | $83.00 | Sep 9, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Thyroxine (thyroid chemical), total | $51.10 | $73.00 | Jun 1, 2026 source file |
| Van Diest Medical Center Webster City · Webster City, IA T4 | $52.00 | $65.00 | Feb 5, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC T4 (Thyroxine) Total | $52.65 | $81.00 | Mar 31, 2026 source file |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC T4 (Thyroxine) Total | $52.65 | $81.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC T4 (Thyroxine) Total | $52.65 | $81.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC T4 (Thyroxine) Total | $52.65 | $81.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC T4 (Thyroxine) Total | $52.65 | $81.00 | Mar 31, 2026 source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA T4 84436 | $52.80 | $66.00 | Mar 4, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Thyroxine (thyroid chemical), total | $53.40 | $89.00 | Jun 11, 2026 source file |
| Dallas County Hospital Perry · Des Moines-West Des Moines, IA PERRY-TOTAL T4 | $54.00 | $83.00 | — source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC THYROXINE; TOTAL | $55.00 | $68.75 | Jan 28, 2026 source file |
| MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC T4 (Thyroxine) Total | $55.25 | $85.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC T4 (Thyroxine) Total | $55.25 | $85.00 | Mar 31, 2026 source file |
| Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Thyroxine (thyroid chemical), total | $56.43 | $99.00 | May 11, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC T4 (Thyroxine) Total | $57.20 | $88.00 | Mar 31, 2026 source file |
| Decatur County Hospital Leon · Leon, IA Thyroxine (thyroid chemical), total | $57.60 | $72.00 | Mar 4, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC T4 (Thyroxine) Total | $57.85 | $89.00 | Mar 31, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA T4 Total | $58.50 | $78.00 | — source file |
| Hancock County Health System Britt · Britt, IA Thyroxine (thyroid chemical), total | $60.00 | $80.00 | Jun 30, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Thyroxine (thyroid chemical), total | $63.00 | $70.00 | Jul 16, 2026 source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $64.60 | $68.00 | — source file |
| WinnMed Decorah · Decorah, IA Thyroxine (thyroid chemical), total | $70.70 | $101.00 | Jul 17, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC T4 (Thyroxine) Total | $70.85 | $109.00 | Mar 31, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Thyroxine (thyroid chemical), total | $73.50 | $98.00 | Sep 8, 2026 source file |
| University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB THYROXINE (T-4), TOTAL | $77.70 | $111.00 | Mar 11, 2026 source file |
| University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB THYROXINE (T-4), TOTAL | $77.70 | $111.00 | Mar 11, 2026 source file |
| Kossuth Regional Health Center Algona · Algona, IA Thyroxine (thyroid chemical), total | $79.20 | $99.00 | Jul 16, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC T4 (Thyroxine) Total | $81.00 | $81.00 | Mar 31, 2026 source file |
| Wayne County Hospital Corydon · Corydon, IA Thyroxine (thyroid chemical), total | $82.00 | $82.00 | Jun 10, 2026 source file |
| Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Thyroxine; total | $82.50 | $110.00 | — source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Thyroxine (thyroid chemical), total | $88.00 | $110.00 | Sep 23, 2026 source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $89.24 | $92.00 | — source file |
| Hansen Family Hospital Iowa Falls · Iowa Falls, IA Thyroxine (thyroid chemical), total | $105.06 | $105.06 | Jul 10, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $148.41 | $153.00 | — source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC T4 (Thyroxine) Total | $196.95 | $303.00 | Mar 31, 2026 source file |
| MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC T4 (Thyroxine) Total | $303.00 | $303.00 | Mar 31, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Des Moines-West Des Moines, IA | 7 | $35.00 | $55.00 |
| Waterloo-Cedar Falls, IA | 5 | $28.08 | $55.00 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $27.00 | $30.60 |
| Dubuque, IA | 3 | $52.65 | $55.00 |
| Iowa City, IA | 3 | $73.50 | $77.70 |
| Omaha, NE-IA | 3 | $10.29 | $18.60 |
| Ames, IA | 2 | $8.80 | $13.60 |
| Carroll, IA | 2 | $21.00 | $35.35 |
| Cedar Rapids, IA | 2 | $38.40 | $46.70 |
| Clinton, IA | 2 | $22.80 | $46.82 |
| Albia, IA | 1 | $49.80 | $49.80 |
| Algona, IA | 1 | $79.20 | $79.20 |
| Atlantic, IA | 1 | $51.10 | $51.10 |
| Belmond, IA | 1 | $48.60 | $48.60 |
| Britt, IA | 1 | $60.00 | $60.00 |
| Cedar Rapids, IA | 1 | $55.00 | $55.00 |
| Centerville, IA | 1 | $81.00 | $81.00 |
| Charles City, IA | 1 | $28.50 | $28.50 |
| Clarinda, IA | 1 | $38.41 | $38.41 |
| Clarion, IA | 1 | $53.40 | $53.40 |
| Corning, IA | 1 | $10.08 | $10.08 |
| Corydon, IA | 1 | $82.00 | $82.00 |
| Decorah, IA | 1 | $70.70 | $70.70 |
| Denison, IA | 1 | $36.80 | $36.80 |
| Elkader, IA | 1 | $52.65 | $52.65 |
| Emmetsburg, IA | 1 | $82.50 | $82.50 |
| Estherville, IA | 1 | $148.41 | $148.41 |
| Fort Dodge, IA | 1 | $55.00 | $55.00 |
| Greenfield, IA | 1 | $37.50 | $37.50 |
| Grinnell, IA | 1 | $55.00 | $55.00 |
| Hampton, IA | 1 | $63.00 | $63.00 |
| Harwarden, IA | 1 | $34.85 | $34.85 |
| Iowa Falls, IA | 1 | $105.06 | $105.06 |
| Jefferson, IA | 1 | $38.64 | $38.64 |
| Keosauqua, IA | 1 | $28.70 | $28.70 |
| Lake City, IA | 1 | $29.00 | $29.00 |
| Leon, IA | 1 | $57.60 | $57.60 |
| Manchester, IA | 1 | $45.60 | $45.60 |
| Marshalltown, IA | 1 | $55.00 | $55.00 |
| Mason City, IA | 1 | $55.25 | $55.25 |
| Muscatine, IA | 1 | $55.00 | $55.00 |
| New Hampton, IA | 1 | $52.65 | $52.65 |
| Oelwein, IA | 1 | $52.65 | $52.65 |
| Orange City, IA | 1 | $40.00 | $40.00 |
| Pella, IA | 1 | $39.60 | $39.60 |
| Sac City, IA | 1 | $30.75 | $30.75 |
| Sheldon, IA | 1 | $52.80 | $52.80 |
| Sigourney, IA | 1 | $9.10 | $9.10 |
| Sioux Center, IA | 1 | $89.24 | $89.24 |
| Sioux City, IA-NE-SD | 1 | $55.00 | $55.00 |
| Spencer, IA | 1 | $58.50 | $58.50 |
| Spirit Lake, IA | 1 | $64.60 | $64.60 |
| Storm Lake, IA | 1 | $10.40 | $10.40 |
| Waukon, IA | 1 | $56.43 | $56.43 |
| Webster City, IA | 1 | $52.00 | $52.00 |
| West Union, IA | 1 | $46.93 | $46.93 |
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.
Total thyroxine (T4) blood test in other states
- Alabama$53.07
- Alaska$85.02
- Arizona$36.42
- Arkansas$20.79
- California$39.20
- Colorado$86.38
- Connecticut$33.60
- Delaware$64.17
- District of Columbia$95.01
- Florida$76.63
- Georgia$52.80
- Hawaii$60.20
- Idaho$34.13
- Illinois$81.90
- Indiana$47.50
- Kansas$45.10
- Kentucky$75.08
- Louisiana$23.29
- Maine$47.25
- Maryland$43.73
- Massachusetts$33.25
- Michigan$37.83
- Minnesota$43.20
- Mississippi$33.75
- Missouri$60.06
- Montana$54.50
- Nebraska$57.17
- Nevada$93.90
- New Hampshire$64.27
- New Jersey$21.80
- New Mexico$66.00
- New York$28.63
- North Carolina$80.44
- North Dakota$42.60
- Ohio$40.60
- Oklahoma$43.50
- Oregon$28.05
- Pennsylvania$44.34
- Puerto Rico$26.63
- Rhode Island$47.00
- South Carolina$85.91
- South Dakota$58.40
- Tennessee$26.97
- Texas$80.73
- Utah$123.03
- Vermont$57.19
- Virginia$55.09
- Washington$55.20
- West Virginia$45.50
- Wisconsin$52.00
- Wyoming$37.24
Median cash price across the state's hospitals.