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
T4 (Thyroxine), Free by Dialysis, S (Mayo)
Wadena, MN
See all hospitals reporting CPT 84439 →Price type
Astera Health’s median price of $73 is 329% above the median hospital's median price ($17), higher than 84% 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: 7 payers, 34 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 | Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges | $34.92 | $34.92 | $34.92 – $34.92 |
| 2 | Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges | $38.37 | $38.37 | $38.37 – $38.37 |
| 3 | Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges | $38.37 | $38.37 | $38.37 – $38.37 |
| 4 | Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges | $38.37 | $38.37 | $38.37 – $38.37 |
| 5 | Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges | $38.37 | $38.37 | $38.37 – $38.37 |
| 6 | Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges | $40.29 | $40.29 | $40.29 – $40.29 |
| 7 | Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges | $40.29 | $40.29 | $40.29 – $40.29 |
| 8 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges | $53.34 | $53.34 | $53.34 – $53.34 |
| 9 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges | $55.35 | $55.35 | $55.35 – $55.35 |
| 10 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $66.57 | $66.57 | $66.57 – $66.57 |
| 11 | UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges | $71.28 | $71.28 | $71.28 – $71.28 |
| 12 | Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges | $71.31 | $71.31 | $71.31 – $71.31 |
| 13 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges | $72.95 | $72.95 | $72.95 – $72.95 |
| 14 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · outpatientfrom % of charges | $72.95 | $72.95 | $72.95 – $72.95 |
| 15 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges | $72.95 | $72.95 | $72.95 – $72.95 |
| 16 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · outpatientfrom % of charges | $72.95 | $72.95 | $72.95 – $72.95 |
| 17 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges | $72.95 | $72.95 | $72.95 – $72.95 |
| 18 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · outpatientfrom % of charges | $72.95 | $72.95 | $72.95 – $72.95 |
| 19 | UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges | $74.15 | $74.15 | $74.15 – $74.15 |
| 20 | Medica medica [100341] percent of total billed charges · outpatientfrom % of charges | $74.73 | $74.73 | $74.73 – $74.73 |
| 21 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $76.74 | $76.74 | $76.74 – $76.74 |
| 22 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $76.74 | $76.74 | $76.74 – $76.74 |
| 23 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges | $81.54 | $81.54 | $81.54 – $81.54 |
| 24 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges | $81.54 | $81.54 | $81.54 – $81.54 |
| 25 | Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges | $86.34 | $86.34 | $86.34 – $86.34 |
Last updated: Feb 20, 2026
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