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
HC Assay of Free Thyroxine - T4 Free
Choteau, MT
See all hospitals reporting CPT 84439 →Price type
Benefis Community Hospitals, Inc’s median price of $100 is 486% above the median hospital's median price ($17), higher than 90% 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, 11 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 | Tricare mrmc hb tricare other · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Blue Cross Blue Shield mrmc hb bcbs pos fee schedule · outpatient | $21.47 | $21.47 | $21.47 – $21.47 |
| 3 | Blue Cross Blue Shield mrmc hb bcbs traditional fee schedule · outpatient | $21.47 | $21.47 | $21.47 – $21.47 |
| 4 | Aetna mrmc hb first choice health percent of total billed charges · bothfrom % of charges | $96.05 | $96.05 | $96.05 – $96.05 |
| 5 | Cigna mrmc hb allegiance percent of total billed charges · bothfrom % of charges | $96.05 | $96.05 | $96.05 – $96.05 |
| 6 | Blue Cross Blue Shield mrmc hb bcbs pos percent of total billed charges · inpatientfrom % of charges | $107.35 | $107.35 | $107.35 – $107.35 |
| 7 | Blue Cross Blue Shield mrmc hb bcbs traditional percent of total billed charges · inpatientfrom % of charges | $113.00 | $113.00 | $113.00 – $113.00 |
| 8 | Blue Cross Blue Shield mrmc hb medicare percent of total billed charges · bothfrom % of charges | $131.08 | $131.08 | $131.08 – $131.08 |
| 9 | Humana mrmc hb medicare percent of total billed charges · bothfrom % of charges | $131.08 | $131.08 | $131.08 – $131.08 |
| 10 | Medicare mrmc hb medicare percent of total billed charges · bothfrom % of charges | $131.08 | $131.08 | $131.08 – $131.08 |
| 11 | UnitedHealthcare mrmc hb medicare percent of total billed charges · bothfrom % of charges | $131.08 | $131.08 | $131.08 – $131.08 |
Last updated: Mar 26, 2026
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