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
Falls, MT
See all hospitals reporting CPT 84439 →Price type
Benefis Hospitals Inc’s median price of $43 is 152% above the median hospital's median price ($17), higher than 74% 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: 12 payers, 28 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 bhs hb tricare fee schedule · outpatient | $7.86 | $7.86 | $7.86 – $7.86 |
| 2 | Aetna bhs hb medicare fee schedule · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 3 | Anthem bhs hb medicare fee schedule · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 4 | Blue Cross Blue Shield bhs hb medicare fee schedule · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 5 | Kaiser bhs hb medicare fee schedule · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 6 | Medicare bhs hb medicare fee schedule · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 7 | WellCare bhs hb medicare fee schedule · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 8 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient | $9.82 | $9.82 | $9.82 – $9.82 |
| 9 | Cigna bhs hb allegiance fee schedule · outpatient | $13.53 | $13.53 | $13.53 – $13.53 |
| 10 | Healthpartners bhs hb allegiance fee schedule · outpatient | $13.53 | $13.53 | $13.53 – $13.53 |
| 11 | Kaiser bhs hb allegiance fee schedule · outpatient | $13.53 | $13.53 | $13.53 – $13.53 |
| 12 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $13.53 | $13.53 | $13.53 – $13.53 |
| 13 | Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient | $27.61 | $27.61 | $27.61 – $27.61 |
| 14 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $36.81 | $36.81 | $36.81 – $36.81 |
| 15 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $39.00 | $39.00 | $31.85 – $46.15 |
| 16 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $45.00 | $45.00 | $36.75 – $53.25 |
| 17 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $48.00 | $48.00 | $39.20 – $56.80 |
| 18 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $48.84 | $48.84 | $39.89 – $57.79 |
| 19 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $51.00 | $51.00 | $41.65 – $60.35 |
| 20 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $51.00 | $51.00 | $41.65 – $60.35 |
| 21 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $51.60 | $51.60 | $42.14 – $61.06 |
| 22 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $54.00 | $54.00 | $44.10 – $63.90 |
| 23 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $54.00 | $54.00 | $44.10 – $63.90 |
| 24 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $54.00 | $54.00 | $44.10 – $63.90 |
| 25 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $54.00 | $54.00 | $44.10 – $63.90 |
Last updated: Mar 26, 2026
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