Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
H THYROXINE FREE (FT4) SERUM
Chicago, IL
See all hospitals reporting CPT 84439 →Price type
Ann & Robert H. Lurie Children's Hospital of Chicago’s median price of $230 is 1254% above the median hospital's median price ($17), higher than 99% of the 2,631 hospitals reporting CPT 84439. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 42 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $48.96 | $48.96 | $48.96 – $48.96 |
| 2 | UnitedHealthcare unitedhealthcare navigate other · outpatient | $84.00 | $84.00 | $84.00 – $84.00 |
| 3 | UnitedHealthcare unitedhealthcare other · outpatient | $92.00 | $92.00 | $92.00 – $92.00 |
| 4 | Cigna cigna local plus percent of total billed charges · inpatientfrom % of charges | $120.96 | $120.96 | $120.96 – $120.96 |
| 5 | Cigna cigna local plus percent of total billed charges · outpatientfrom % of charges | $120.96 | $120.96 | $120.96 – $120.96 |
| 6 | Blue Cross Blue Shield bcbs hmo percent of total billed charges · outpatientfrom % of charges | $124.70 | $124.70 | $124.70 – $124.70 |
| 7 | Blue Cross Blue Shield bcbs ppo percent of total billed charges · outpatientfrom % of charges | $131.33 | $131.33 | $131.33 – $131.33 |
| 8 | Aetna aetna northwestern percent of total billed charges · inpatientfrom % of charges | $144.00 | $144.00 | $144.00 – $144.00 |
| 9 | Aetna aetna northwestern percent of total billed charges · outpatientfrom % of charges | $144.00 | $144.00 | $144.00 – $144.00 |
| 10 | Aetna aetna illinois preferred percent of total billed charges · inpatientfrom % of charges | $152.64 | $152.64 | $152.64 – $152.64 |
| 11 | Aetna aetna illinois preferred percent of total billed charges · outpatientfrom % of charges | $152.64 | $152.64 | $152.64 – $152.64 |
| 12 | Blue Cross Blue Shield unified physicians network percent of total billed charges · outpatientfrom % of charges | $161.28 | $161.28 | $161.28 – $161.28 |
| 13 | Cigna cigna c-5 percent of total billed charges · inpatientfrom % of charges | $165.89 | $165.89 | $165.89 – $165.89 |
| 14 | Cigna cigna c-5 percent of total billed charges · outpatientfrom % of charges | $165.89 | $165.89 | $165.89 – $165.89 |
| 15 | Blue Cross Blue Shield dupage medical group percent of total billed charges · inpatientfrom % of charges | $172.80 | $172.80 | $172.80 – $172.80 |
| 16 | Blue Cross Blue Shield dupage medical group percent of total billed charges · outpatientfrom % of charges | $172.80 | $172.80 | $172.80 – $172.80 |
| 17 | Blue Cross Blue Shield northwestern medicine physician network ipa percent of total billed charges · inpatientfrom % of charges | $172.80 | $172.80 | $172.80 – $172.80 |
| 18 | Blue Cross Blue Shield northwestern medicine physician network ipa percent of total billed charges · outpatientfrom % of charges | $172.80 | $172.80 | $172.80 – $172.80 |
| 19 | Blue Cross Blue Shield northshore physician associates percent of total billed charges · inpatientfrom % of charges | $187.20 | $187.20 | $187.20 – $187.20 |
| 20 | Blue Cross Blue Shield northshore physician associates percent of total billed charges · outpatientfrom % of charges | $187.20 | $187.20 | $187.20 – $187.20 |
| 21 | Blue Cross Blue Shield illinois health partners percent of total billed charges · inpatientfrom % of charges | $201.60 | $201.60 | $201.60 – $201.60 |
| 22 | Blue Cross Blue Shield illinois health partners percent of total billed charges · outpatientfrom % of charges | $201.60 | $201.60 | $201.60 – $201.60 |
| 23 | Blue Cross Blue Shield lake county physician association percent of total billed charges · inpatientfrom % of charges | $201.60 | $201.60 | $201.60 – $201.60 |
| 24 | Blue Cross Blue Shield lake county physician association percent of total billed charges · outpatientfrom % of charges | $201.60 | $201.60 | $201.60 – $201.60 |
| 25 | Cigna cigna percent of total billed charges · inpatientfrom % of charges | $204.48 | $204.48 | $204.48 – $204.48 |
Last updated: Apr 1, 2026
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