Total T4 test cost in Missouri
In Missouri, 63 hospitals publish a cash price for total thyroxine (T4) blood test: from $6.00 to $619.83, with a median of $59.50. The lowest price is at St Joseph Medical Center (Kansas City). The highest price is 103.3× 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 Oct 2, 2026. See them on a map
Lowest$6.00St Joseph Medical Center
Median$59.50half of hospitals charge less
Highest$619.83in Missouri
Lowest saves$53.50vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| St Joseph Medical Center lowest Kansas City · Kansas City, MO-KS Hc Assay Of Total Thyroxine | $6.00 | $162.93 | Mar 17, 2026 source file |
| Lake Regional Health System Osage Beach · Osage Beach, MO T 4 | $14.40 | $48.00 | Sep 2, 2026 source file |
| Scotland County Memorial Hospital Memphis · Memphis, MO THYROXINE T4 | $14.70 | $21.00 | Oct 24, 2025 source file |
| Oklahoma Spine Hospital Kansas City · Kansas City, MO T4 TOTAL | $15.00 | $65.94 | Apr 2, 2026 source file |
| Nevada City Hospital Nevada · Nevada, MO T4 TOTAL | $15.75 | $35.00 | Jan 14, 2025 source file |
| Ranken Jordan Pediatric Bridge Hospital Maryland Heights · St. Louis, MO-IL Thyroxine | $18.29 | $22.86 | Apr 24, 2026 source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL T4 Thyroxine Total | $20.80 | $32.00 | Jun 10, 2026 source file |
| NKC Health North Kansas City · Kansas City, MO-KS 84436 Thyroxine Total | $22.33 | $77.00 | Mar 6, 2026 source file |
| Missouri Delta Medical Center Sikeston · Sikeston, MO T4 | $25.31 | $101.25 | Aug 7, 2026 source file |
| Boone Hospital Center Columbia · Columbia, MO THYROXINE TOTAL | $25.96 | $43.26 | Apr 1, 2026 source file |
| Cox Medical Center Branson Branson · Branson, MO THYROXINE (THYROID CHEMICAL); TOTAL | $26.59 | $117.15 | Apr 24, 2026 source file |
| Lester E Cox Medical Centers Springfield · Springfield, MO THYROXINE (THYROID CHEMICAL); TOTAL | $29.52 | $117.15 | Apr 24, 2026 source file |
| Liberty Hospital Liberty · Kansas City, MO-KS LAB THYROXINE TOTAL | $31.00 | $114.00 | Jul 9, 2026 source file |
| Curators of the University of Missouri Columbia · Columbia, MO THYROXINE P28620042 | $31.08 | $51.80 | Dec 15, 2025 source file |
| Mercy Perry Perryville · Perryville, MO T4 Thyroxine Total | $33.80 | $52.00 | Mar 12, 2026 source file |
| Saint Francis Medical Center Cape Girardeau · Cape Girardeau, MO-IL Hc T4 | $35.00 | $35.00 | Apr 1, 2026 source file |
| Harrison County Community Hospital Bethany · Bethany, MO THYROXINE/TOTAL T4 | $35.10 | $54.00 | Sep 10, 2025 source file |
| Cox-Monett Hospital Monett · Monett, MO THYROXINE (THYROID CHEMICAL); TOTAL | $35.73 | $117.15 | Apr 24, 2026 source file |
| Citizens Memorial Hospital Bolivar · Springfield, MO THYROXINE (THYROID CHEMICAL); TOTAL | $36.00 | $45.00 | Mar 25, 2026 source file |
| Cox Barton County Hospital Lamar · Lamar, MO THYROXINE (THYROID CHEMICAL); TOTAL | $37.37 | $117.15 | Apr 24, 2026 source file |
| Children's Mercy Hospital Kansas City · Kansas City, MO-KS T4 (THYROXINE) MAIN | $38.88 | $81.00 | Apr 1, 2026 source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL T4 Thyroxine Total | $40.95 | $63.00 | Jun 11, 2026 source file |
| Community Hospital Association Fairfax · Fairfax, MO T4 (THYROXINE) | $43.40 | $62.00 | Aug 21, 2026 source file |
| Golden Valley Memorial Hospital Clinton · Clinton, MO ASSAY OF TOTAL THYROXINE | $43.48 | $72.46 | Jul 1, 2026 source file |
| Pike County Memorial Hospital Lousiana · Lousiana, MO T4 (Thyroxine), Total QST | $44.00 | $55.00 | May 5, 2026 source file |
| Texas County Memorial Hospital Houston · Houston, MO TOTAL T4 (TCMH) | $44.63 | $63.75 | Jul 17, 2026 source file |
| Sullivan County Memorial Hospital Milan · Milan, MO TOTAL T4 (THYROXINE) | $45.00 | $45.00 | Jul 1, 2026 source file |
| Shriners Childrens - St Louis Saint Louis · St. Louis, MO-IL ASSAY OF TOTAL THYROXINE | $54.00 | $54.00 | Mar 18, 2026 source file |
| Mercy Hospital Jefferson Festus · St. Louis, MO-IL T4 Thyroxine Total | $55.25 | $85.00 | Jun 10, 2026 source file |
| Mercy Hospital Washington Washington · St. Louis, MO-IL T4 Thyroxine Total | $55.25 | $85.00 | Jun 10, 2026 source file |
| Northeast Regional Medical Center Kirksville · Kirksville, MO THYROXINE T4,TOTAL | $57.95 | $241.44 | Apr 1, 2026 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO T4 (THYROXINE) | $59.50 | $119.00 | May 19, 2026 source file |
| Moberly Regional Medical Center Moberly · Moberly, MO THYROXINE T4,TOTAL | $60.62 | $224.53 | Apr 1, 2026 source file |
| Hermann Area Hospital District Hermann · Hermann, MO Thyroxine (thyroid chemical), total | $63.60 | $106.00 | Oct 1, 2026 source file |
| Cass Regional Medical Center Harrisonville · Kansas City, MO-KS 84436 T4 TOTAL | $63.70 | $91.00 | Apr 7, 2026 source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS T4 Thyroxine Total | $67.60 | $104.00 | Jun 9, 2026 source file |
| Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL T4 Thyroxine Total | $68.90 | $106.00 | Jun 4, 2026 source file |
| Bates County Memorial Hospital Butler · Kansas City, MO-KS T4 | $70.54 | $100.76 | Apr 20, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO T4 Thyroxine Total | $72.15 | $111.00 | Jun 11, 2026 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) | $76.50 | $90.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) | $76.50 | $90.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Albany Albany · Albany, MO HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) | $76.50 | $90.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Maryville Maryville · Maryville, MO HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) | $76.50 | $90.00 | Sep 26, 2025 source file |
| Mercy Hospital Joplin Joplin · Joplin, MO-KS T4 Thyroxine Total | $82.55 | $127.00 | Jun 9, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS T4 | $85.26 | $213.15 | Sep 1, 2026 source file |
| Freeman Neosho Hospital Neosho · Joplin, MO-KS T4 | $85.26 | $213.15 | Sep 1, 2026 source file |
| Bothwell Regional Health Center Sedalia · Sedalia, MO THYROXINE (THYROID CHEMICAL); TOTAL | $90.00 | $120.00 | Mar 26, 2026 source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL T4 Thyroxine Total | $91.00 | $140.00 | Jun 10, 2026 source file |
| Mercy Hospital Lebanon Lebanon · Lebanon, MO T4 Thyroxine Total | $94.25 | $145.00 | Jun 10, 2026 source file |
| Phelps Health Rolla · Rolla, MO THYROXINE (THYROID CHEMICAL); TOTAL | $94.70 | $135.28 | Feb 26, 2026 source file |
| Fitzgibbon Hospital Marshall · Marshall, MO Thyroxine (thyroid chemical), total | $94.71 | $118.39 | Feb 2, 2026 source file |
| Madison Medical Center Fredericktown · Fredericktown, MO T4 TOTAL | $96.00 | $19.00 | Jan 5, 2025 source file |
| Mercy Hospital Aurora Aurora · Aurora, MO T4 Thyroxine Total | $104.00 | $160.00 | Jun 10, 2026 source file |
| Mercy Hospital Cassville Cassville · Cassville, MO T4 Thyroxine Total | $104.00 | $160.00 | Jun 10, 2026 source file |
| Mercy St. Francis Hospital Mountain View · West Plains, MO T4 Thyroxine Total | $104.00 | $160.00 | Jun 10, 2026 source file |
| Mercy Hospital Springfield Springfield · Springfield, MO T4 Thyroxine Total | $116.35 | $179.00 | Jun 4, 2026 source file |
| Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO T4 Thyroxine Total | $116.35 | $179.00 | Jun 4, 2026 source file |
| Lafayette Regional Health Center Lexington · Kansas City, MO-KS Thyroxine; total | $264.19 | $264.19 | Sep 1, 2026 source file |
| Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO Thyroxine 4 (LC) | $291.24 | $1,386.85 | Apr 1, 2026 source file |
| Belton Regional Medical Center Kansas City · Kansas City, MO-KS THYROXINE T4 TOTAL | $401.20 | $401.20 | Sep 1, 2026 source file |
| Research Medical Center Kansas City · Kansas City, MO-KS THYROXINE T4 TOTAL | $413.55 | $413.55 | Sep 1, 2026 source file |
| Lee's Summit Medical Center Lee's Summit · Kansas City, MO-KS THYROXINE T4 TOTAL | $414.47 | $414.47 | Sep 1, 2026 source file |
| Centerpoint Medical Center Independence · Kansas City, MO-KS Thyroxine; total | $619.83 | $619.83 | Sep 1, 2026 source file |
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Kansas City, MO-KS | 11 | $6.00 | $70.54 |
| St. Louis, MO-IL | 7 | $18.29 | $55.25 |
| Joplin, MO-KS | 4 | $67.60 | $83.90 |
| Springfield, MO | 4 | $29.52 | $76.18 |
| Cape Girardeau, MO-IL | 2 | $35.00 | $37.98 |
| Columbia, MO | 2 | $25.96 | $28.52 |
| St. Joseph, MO-KS | 2 | $76.50 | $76.50 |
| Albany, MO | 1 | $76.50 | $76.50 |
| Aurora, MO | 1 | $104.00 | $104.00 |
| Bethany, MO | 1 | $35.10 | $35.10 |
| Branson, MO | 1 | $26.59 | $26.59 |
| Cassville, MO | 1 | $104.00 | $104.00 |
| Clinton, MO | 1 | $43.48 | $43.48 |
| Dexter, MO | 1 | $72.15 | $72.15 |
| Fairfax, MO | 1 | $43.40 | $43.40 |
| Fredericktown, MO | 1 | $96.00 | $96.00 |
| Hermann, MO | 1 | $63.60 | $63.60 |
| Houston, MO | 1 | $44.63 | $44.63 |
| Kansas City, MO | 1 | $15.00 | $15.00 |
| Kirksville, MO | 1 | $57.95 | $57.95 |
| Lamar, MO | 1 | $37.37 | $37.37 |
| Lousiana, MO | 1 | $44.00 | $44.00 |
| Lebanon, MO | 1 | $94.25 | $94.25 |
| Memphis, MO | 1 | $14.70 | $14.70 |
| Milan, MO | 1 | $45.00 | $45.00 |
| Monett, MO | 1 | $35.73 | $35.73 |
| Marshall, MO | 1 | $94.71 | $94.71 |
| Maryville, MO | 1 | $76.50 | $76.50 |
| Moberly, MO | 1 | $60.62 | $60.62 |
| Nevada, MO | 1 | $15.75 | $15.75 |
| Osage Beach, MO | 1 | $14.40 | $14.40 |
| Perryville, MO | 1 | $33.80 | $33.80 |
| Poplar Bluff, MO | 1 | $291.24 | $291.24 |
| Rolla, MO | 1 | $94.70 | $94.70 |
| Ste. Genevieve, MO | 1 | $59.50 | $59.50 |
| Sedalia, MO | 1 | $90.00 | $90.00 |
| Sikeston, MO | 1 | $25.31 | $25.31 |
| West Plains, MO | 1 | $104.00 | $104.00 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
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$34.17
- Arkansas$20.79
- California$39.20
- Colorado$94.13
- Connecticut$33.89
- Delaware$59.64
- District of Columbia$86.50
- Florida$91.20
- Georgia$51.30
- Hawaii$60.20
- Idaho$35.25
- Illinois$81.90
- Indiana$47.50
- Iowa$52.80
- Kansas$40.13
- Kentucky$75.08
- Louisiana$23.19
- Maine$48.63
- Maryland$43.73
- Massachusetts$33.25
- Michigan$37.40
- Minnesota$42.00
- Mississippi$33.75
- Montana$54.50
- Nebraska$57.34
- Nevada$93.90
- New Hampshire$64.27
- New Jersey$14.85
- New Mexico$64.75
- New York$26.68
- North Carolina$73.50
- North Dakota$43.70
- Ohio$40.55
- Oklahoma$43.35
- Oregon$28.05
- Pennsylvania$45.26
- 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$56.00
- West Virginia$45.50
- Wisconsin$52.00
- Wyoming$37.24
Median cash price across the state's hospitals.