Free T4 test cost in Alabama
In Alabama, 52 hospitals publish a cash price for free T4 (free thyroxine) thyroid blood test: from $9.00 to $410.00, with a median of $60.96. The lowest price is at Riverview Regional Medical Center (Gadsden). The highest price is 45.6× the lowest.
- The median here, $60.96, is 8% below the US median of $66.46.
- That is 6.8× Medicare's 2026 national rate for the same service ($9.02).
- Alabama ranks 17th of 51 states by median, cheapest first.
- 17 of 52 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 84439. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 12, 2026. See them on a map
Lowest$9.00Riverview Regional Medical Center
Median$60.96half of hospitals charge less
Highest$410.00in Alabama
Lowest saves$51.96vs the median
Hospitals in Alabama, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Riverview Regional Medical Center lowest Gadsden · Gadsden, AL Hc Assay Of Free Thyroxine | $9.00 | $307.40 | Sep 1, 2026 source file |
| Lakeland Community Hospital Haleyville · Haleyville, AL T4 FREE | $10.02 | $57.00 | Sep 28, 2026 source file |
| Hale County Hospital Greensboro · Tuscaloosa, AL .FREE THYROXINE NH | $10.30 | $12.88 | Apr 1, 2026 source file |
| Cullman Regional Medical Center Cullman · Cullman, AL TSH with Reflex to FT4 | $10.82 | $195.84 | Jan 19, 2026 source file |
| Baptist Medical Center East Montgomery · Montgomery, AL FREE T4 | $12.60 | $21.00 | Dec 30, 2025 source file |
| Montgomery Cancer Center Montgomery · Montgomery, AL FREE T4 | $12.60 | $21.00 | Dec 30, 2025 source file |
| Troy Regional Medical Center Troy · Troy, AL T4 FREE | $13.36 | $95.00 | Dec 31, 2024 source file |
| Coosa Valley Medical Center Sylacauga · Talladega-Sylacauga, AL T4 Free | $14.00 | $60.00 | — source file |
| Monroe County Hospital Monroeville · Monroeville, AL FREE T4/DIRECT DIALYSIS 35167 | $14.00 | $35.00 | Mar 2, 2026 source file |
| Marion Regional Medical Center Hamilton · Hamilton, AL HC ASSAY OF FREE THYROXINE - T4 FREE | $16.34 | $38.00 | Apr 1, 2026 source file |
| North Mississippi Health Services-South Marion Winfield · Winfield, AL HC ASSAY OF FREE THYROXINE - T4 FREE | $16.34 | $38.00 | Apr 1, 2026 source file |
| Grandview Medical Center Birmingham · Birmingham, AL THYROXINE T4, FREE | $18.75 | $125.00 | Nov 22, 2024 source file |
| Flowers Hospital Dothan · Dothan, AL THYROXINE T4, FREE | $21.37 | $142.47 | Nov 22, 2024 source file |
| Baptist Medical Center South Montgomery · Montgomery, AL THYROXINE (T-4) FREE BY DIALYSIS | $22.52 | $37.54 | Dec 30, 2025 source file |
| Crestwood Medical Center Huntsville · Huntsville, AL THYROXINE T4, FREE | $27.71 | $153.93 | Jan 1, 2026 source file |
| Tanner Medical Center - East Alabama Wedowee · Wedowee, AL THYROXINE (THYROID CHEMICAL); FREE | $33.60 | $84.00 | Mar 24, 2026 source file |
| East Alabama Medical Center Opelika · Auburn-Opelika, AL LAB 84439 - ASSAY OF FREE THYROXINE | $40.70 | $74.00 | Jan 1, 2026 source file |
| Dch Regional Medical Center Tuscaloosa · Tuscaloosa, AL T4 FREE | $43.88 | $87.75 | Mar 26, 2026 source file |
| Fayette Medical Center Fayette · Fayette, AL T4 FREE | $43.88 | $87.75 | Mar 26, 2026 source file |
| Southeast Health Medical Center Dothan · Dothan, AL THYROXINE (THYROID CHEMICAL); FREE | $50.58 | $126.46 | Nov 4, 2026 source file |
| The Children's Hospital of Alabama Birmingham · Birmingham, AL HC Assay of Free Thyroxine - T4 Free | $53.07 | $123.42 | Mar 31, 2026 source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham · Birmingham, AL HC Assay of Free Thyroxine - T4 Free | $53.07 | $123.42 | Mar 31, 2026 source file |
| Crenshaw Community Hospital Luverne · Luverne, AL FREE T4 | $54.50 | $109.00 | Oct 13, 2025 source file |
| Huntsville Hospital Huntsville · Huntsville, AL ANCOBON 500 MG. | $56.89 | $56.89 | Mar 27, 2026 source file |
| Huntsville Hospital Madison · Huntsville, AL ANCOBON 500 MG. | $56.89 | $56.89 | Mar 27, 2026 source file |
| Whitfield Regional Hospital Demopolis · Demopolis, AL T4 Free | $60.00 | $100.00 | Apr 1, 2026 source file |
| Springhill Memorial Hospital Mobile · Mobile, AL CH FREE T4 | $61.91 | $72.83 | Apr 2, 2026 source file |
| Russellville Hospital Russellville · Russellville, AL T4 FREE | $62.14 | $239.00 | Jul 31, 2026 source file |
| Evergreen Medical Center Evergreen · Evergreen, AL FREE T4 | $63.05 | $97.00 | Sep 2, 2026 source file |
| Ochsner Choctaw General Butler · Butler, AL HC T4, FREE | $63.84 | $84.00 | Apr 1, 2026 source file |
| Bibb Medical Center Centreville · Birmingham, AL FREE T4_(THYROXINE) | $63.85 | $63.85 | Nov 1, 2025 source file |
| Decatur Morgan Hospital West Decatur · Decatur, AL T-4,FREE(DIRECT) | $66.00 | $66.00 | Mar 23, 2026 source file |
| Decatur Morgan Hospital - Decatur Campus Decatur · Decatur, AL T-4,FREE(DIRECT) | $66.00 | $66.00 | Mar 23, 2026 source file |
| Decatur Morgan Hospital - Parkway Campus Decatur · Decatur, AL T-4,FREE(DIRECT) | $66.00 | $66.00 | Mar 23, 2026 source file |
| Medical Center Barbour Eufaula · Eufaula, AL-GA T4 FREE | $68.50 | $137.00 | Mar 29, 2026 source file |
| Athens Limestone Hospital Athens · Huntsville, AL T4 FREE | $73.00 | $73.00 | Mar 25, 2026 source file |
| DeKalb Regional Medical Center Fort Payne · Fort Payne, AL T4 FREE | $73.00 | $73.00 | Aug 20, 2026 source file |
| Medical Center Enterprise Enterprise · Enterprise, AL THYROXINE T4, FREE | $78.90 | $876.72 | Nov 23, 2024 source file |
| UAB Medical West Bessemer · Birmingham, AL Free T4 | $84.00 | $112.00 | Jun 22, 2026 source file |
| Floyd Cherokee Medical Center Centre · Centre, AL HC ASSAY OF FREE THYROXINE T4 | $91.00 | $182.00 | Oct 30, 2026 source file |
| Baldwin Health Foley · Daphne-Fairhope-Foley, AL THYROXINE T4, FREE | $95.31 | $529.50 | Nov 23, 2024 source file |
| Highlands Medical Center Scottsboro · Scottsboro, AL ASSAY OF FREE THYROXINE | $102.20 | $146.00 | May 11, 2026 source file |
| Marshall Medical Center North Guntersville · Albertville, AL LAB-THYROXIN (T-4) FREE | $140.50 | $140.50 | Apr 13, 2026 source file |
| Marshall Medical Centers Boaz · Albertville, AL LAB-THYROXIN (T-4) FREE | $140.50 | $140.50 | Apr 13, 2026 source file |
| Gadsden Regional Medical Center Gadsden · Gadsden, AL THYROXINE T4, FREE | $196.53 | $1,637.74 | Nov 23, 2024 source file |
| Helen Keller Hospital Sheffield · Florence-Muscle Shoals, AL LAB-F4 FREE, BY DIALYSIS | $204.36 | $204.36 | Mar 27, 2026 source file |
| Red Bay Hospital Red Bay · Russellville, AL LAB-F4 FREE, BY DIALYSIS | $204.36 | $204.36 | Mar 27, 2026 source file |
| Baptist Health Brookwood Hospital Birmingham · Birmingham, AL Hb Assay Of Free Thyroxine - T4 Free | $405.00 | $405.00 | Apr 1, 2026 source file |
| Baptist Health Citizens Hospital Talladega · Talladega-Sylacauga, AL Hb Assay Of Free Thyroxine - T4 Free | $410.00 | $410.00 | Apr 1, 2026 source file |
| Baptist Health Princeton Hospital Birmingham · Birmingham, AL Hb Assay Of Free Thyroxine - T4 Free | $410.00 | $410.00 | Apr 1, 2026 source file |
| Baptist Health Shelby Hospital Alabaster · Birmingham, AL Hb Assay Of Free Thyroxine - T4 Free | $410.00 | $410.00 | Apr 1, 2026 source file |
| Baptist Health Walker Hospital Jasper · Birmingham, AL Hb Assay Of Free Thyroxine - T4 Free | $410.00 | $410.00 | Apr 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 |
|---|---|---|---|
| Birmingham, AL | 9 | $18.75 | $84.00 |
| Huntsville, AL | 4 | $27.71 | $56.89 |
| Decatur, AL | 3 | $66.00 | $66.00 |
| Montgomery, AL | 3 | $12.60 | $12.60 |
| Albertville, AL | 2 | $140.50 | $140.50 |
| Dothan, AL | 2 | $21.37 | $35.98 |
| Gadsden, AL | 2 | $9.00 | $102.76 |
| Russellville, AL | 2 | $62.14 | $133.25 |
| Talladega-Sylacauga, AL | 2 | $14.00 | $212.00 |
| Tuscaloosa, AL | 2 | $10.30 | $27.09 |
| Auburn-Opelika, AL | 1 | $40.70 | $40.70 |
| Butler, AL | 1 | $63.84 | $63.84 |
| Centre, AL | 1 | $91.00 | $91.00 |
| Cullman, AL | 1 | $10.82 | $10.82 |
| Demopolis, AL | 1 | $60.00 | $60.00 |
| Daphne-Fairhope-Foley, AL | 1 | $95.31 | $95.31 |
| Evergreen, AL | 1 | $63.05 | $63.05 |
| Enterprise, AL | 1 | $78.90 | $78.90 |
| Eufaula, AL-GA | 1 | $68.50 | $68.50 |
| Fayette, AL | 1 | $43.88 | $43.88 |
| Florence-Muscle Shoals, AL | 1 | $204.36 | $204.36 |
| Fort Payne, AL | 1 | $73.00 | $73.00 |
| Haleyville, AL | 1 | $10.02 | $10.02 |
| Hamilton, AL | 1 | $16.34 | $16.34 |
| Luverne, AL | 1 | $54.50 | $54.50 |
| Monroeville, AL | 1 | $14.00 | $14.00 |
| Mobile, AL | 1 | $61.91 | $61.91 |
| Scottsboro, AL | 1 | $102.20 | $102.20 |
| Troy, AL | 1 | $13.36 | $13.36 |
| Wedowee, AL | 1 | $33.60 | $33.60 |
| Winfield, AL | 1 | $16.34 | $16.34 |
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 free T4 test is, what the price covers and why prices differ: Free T4 test explained.
Free T4 (free thyroxine) thyroid blood test in other states
- Alaska$137.40
- Arizona$53.86
- Arkansas$32.00
- California$68.12
- Colorado$104.02
- Connecticut$61.70
- Delaware$157.92
- District of Columbia$102.57, 3 hospitals
- Florida$84.94
- Georgia$72.51
- Hawaii$79.10
- Idaho$49.00
- Illinois$115.77
- Indiana$80.57
- Iowa$65.60
- Kansas$62.42
- Kentucky$74.62
- Louisiana$34.97
- Maine$57.72
- Maryland$43.12
- Massachusetts$66.00
- Michigan$31.00
- Minnesota$69.26
- Mississippi$35.42
- Missouri$77.18
- Montana$75.33
- Nebraska$90.88
- Nevada$101.04
- New Hampshire$98.25
- New Jersey$10.37
- New Mexico$123.20
- New York$48.00
- North Carolina$64.50
- North Dakota$62.63
- Ohio$42.49
- Oklahoma$61.33
- Oregon$45.75
- Pennsylvania$60.00
- Puerto Rico$44.50
- Rhode Island$72.00
- South Carolina$100.80
- South Dakota$95.00
- Tennessee$33.64
- Texas$76.83
- Utah$151.86
- Vermont$102.14
- Virginia$77.50
- Washington$69.16
- West Virginia$58.00
- Wisconsin$80.75
- Wyoming$77.28
Median cash price across the state's hospitals.