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
THYROXINE FREE SERUM/PLSM
Trenton, NJ
See all hospitals reporting CPT 84439 →Price type
Capital Health System Inc’s median price of $33 is 93% above the median hospital's median price ($17), higher than 68% 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: 8 payers, 16 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 | Clover medicare advantage case rate · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 2 | UnitedHealthcare commercial fee schedule · outpatient | $9.02 | $9.02 | $9.02 – $9.02 |
| 3 | Humana medicare advantage case rate · outpatient | $9.20 | $9.20 | $9.20 – $9.20 |
| 4 | UnitedHealthcare managed medicaid fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 5 | Cigna local plus fee schedule · outpatient | $32.92 | $32.92 | $32.92 – $32.92 |
| 6 | Cigna managed care/ppo fee schedule · outpatient | $32.92 | $32.92 | $32.92 – $32.92 |
| 7 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $19.12 | $39.26 | $19.12 – $79.54 |
| 8 | Blue Cross Blue Shield omnia percent of total billed charges · outpatientfrom % of charges | $35.29 | $72.48 | $35.29 – $146.86 |
| 9 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $39.22 | $80.55 | $39.22 – $163.21 |
| 10 | Blue Cross Blue Shield indemnity percent of total billed charges · outpatientfrom % of charges | $42.34 | $86.95 | $42.34 – $176.17 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $42.34 | $86.95 | $42.34 – $176.17 |
| 12 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $125.67 | $258.09 | $125.67 – $522.92 |
| 13 | Cigna shared administration percent of total billed charges · inpatientfrom % of charges | $265.50 | $545.25 | $265.50 – $1,105 |
| 14 | Cigna shared administration percent of total billed charges · outpatientfrom % of charges | $265.50 | $545.25 | $265.50 – $1,105 |
| 15 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $300.90 | $617.95 | $300.90 – $1,252 |
| 16 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $300.90 | $617.95 | $300.90 – $1,252 |
Last updated: Jun 24, 2026
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