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; Total 392
LAFAYETTE, IN
See all hospitals reporting CPT 84436 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $90 is 630% above the median hospital's median price ($12), higher than 93% of the 2,596 hospitals reporting CPT 84436. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 19 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 | Blue Cross Blue Shield anthem healthsync hmo with copps - lafayette fee schedule · both | $5.43 | $5.43 | $5.43 – $5.43 |
| 2 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette fee schedule · both | $6.15 | $6.15 | $6.15 – $6.15 |
| 3 | Bcbs Il anthem blue access ppo with copps - lafayette fee schedule · both | $6.87 | $6.87 | $6.87 – $6.87 |
| 4 | Bcbs In anthem blue access ppo with copps - lafayette fee schedule · both | $6.87 | $6.87 | $6.87 – $6.87 |
| 5 | Bcbs In anthem blue access ppo-cid fee schedule · both | $6.87 | $6.87 | $6.87 – $6.87 |
| 6 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette fee schedule · both | $6.87 | $6.87 | $6.87 – $6.87 |
| 7 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $6.87 | $6.87 | $6.87 – $6.87 |
| 8 | Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both | $6.87 | $6.87 | $6.87 – $6.87 |
| 9 | Medicaid in mcd-wir-lafayette fee schedule · both | $6.87 | $6.87 | $6.87 – $6.87 |
| 10 | Medicare medicare-wir-lafayette fee schedule · both | $6.87 | $6.87 | $6.87 – $6.87 |
| 11 | Medicaid in mcd lafayet caresource 120% of in mcd fee schedule · both | $8.24 | $8.24 | $8.24 – $8.24 |
| 12 | Aetna aetna-nid-dyer-munster-crn point fee schedule · both | $11.45 | $11.45 | $11.45 – $11.45 |
| 13 | UnitedHealthcare united healthcare charter-wid-lafayette percent of total billed charges · bothfrom % of charges | $81.35 | $81.35 | $81.35 – $81.35 |
| 14 | UnitedHealthcare uhc all payer-wid-lafayette percent of total billed charges · bothfrom % of charges | $90.32 | $90.32 | $90.32 – $90.32 |
| 15 | UnitedHealthcare united healthcare options ppo-wid-lafaye percent of total billed charges · bothfrom % of charges | $99.48 | $99.48 | $99.48 – $99.48 |
| 16 | Humana choice care-wir percent of total billed charges · bothfrom % of charges | $126.17 | $126.17 | $126.17 – $126.17 |
| 17 | Cigna cigna-wid-lafayette percent of total billed charges · bothfrom % of charges | $128.47 | $128.47 | $128.47 – $128.47 |
| 18 | Aetna aetna-wid percent of total billed charges · bothfrom % of charges | $134.83 | $134.83 | $134.83 – $134.83 |
| 19 | Cigna cigna behavioral health-wid-lafayette percent of total billed charges · bothfrom % of charges | $149.60 | $149.60 | $149.60 – $149.60 |
Last updated: Jan 1, 2026
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