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 4 Free
Milton, FL
See all hospitals reporting CPT 84439 →Price type
HMA Santa Rosa Medical Center LLC’s median price of $9 is 48% below the median hospital's median price ($17), higher than 4% 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: 14 payers, 30 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 | Medicaid fl medicaid facility · fee schedule · outpatient | $6.66 | $6.66 | $6.66 – $6.66 |
| 2 | Tricare node tricare facility · fee schedule · outpatient | $8.01 | $6.74 | $2.94 – $8.01 |
| 3 | Humana humana medicaid fl facility · fee schedule · outpatient | $6.86 | $6.86 | $6.86 – $6.86 |
| 4 | WellCare wellcare medicaid fl facility · fee schedule · outpatient | $6.99 | $6.99 | $6.99 – $6.99 |
| 5 | Humana node humana mcr ppo pffs facility · fee schedule · outpatient | $8.40 | $7.16 | $3.42 – $8.40 |
| 6 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $8.84 | $7.53 | $3.60 – $8.84 |
| 7 | Blue Cross Blue Shield node bcbs fl mcr adv facility · fee schedule · outpatient | $8.84 | $7.53 | $3.60 – $8.84 |
| 8 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $8.84 | $7.53 | $3.60 – $8.84 |
| 9 | Humana node humana mcr hmo pos facility · fee schedule · outpatient | $8.84 | $7.53 | $3.60 – $8.84 |
| 10 | Molina molina medicaid fl facility · other · outpatient | $7.53 | $7.53 | $7.53 – $7.53 |
| 11 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $8.84 | $7.53 | $3.60 – $8.84 |
| 12 | Optum node united optum va ccn facility · per diem · outpatient | $9.02 | $7.68 | $3.67 – $9.02 |
| 13 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $9.28 | $7.91 | $3.78 – $9.28 |
| 14 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $8.12 | $8.12 | $8.12 – $8.12 |
| 15 | Oscar oscar facility · other · outpatient | $13.07 | $10.72 | $3.67 – $13.07 |
| 16 | Ambetter sunshine state health plan commercial exchange facility · fee schedule · outpatient | $21.56 | $18.36 | $8.77 – $21.56 |
| 17 | Aetna aetna nab/first health facility · fee schedule · outpatient | $20.75 | $20.75 | $20.75 – $20.75 |
| 18 | Aetna aetna facility · fee schedule · outpatient | $21.65 | $21.65 | $21.65 – $21.65 |
| 19 | Aetna aetna asa facility · fee schedule · outpatient | $23.81 | $23.81 | $23.81 – $23.81 |
| 20 | Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges | $88.11 | $66.29 | $0.83 – $88.11 |
| 21 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $88.11 | $66.29 | $0.83 – $88.11 |
| 22 | Aetna aetna intl passport facility · percent of total billed charges · inpatientfrom % of charges | $218.72 | $164.56 | $2.06 – $218.72 |
| 23 | Aetna aetna intl passport facility · percent of total billed charges · outpatientfrom % of charges | $218.72 | $164.56 | $2.06 – $218.72 |
| 24 | Bcbs Fl bcbs fl bsl facility · per diem · outpatient | $330.00 | $248.42 | $3.67 – $330.00 |
| 25 | Bcbs Fl bcbs fl mbn facility · per diem · outpatient | $330.00 | $248.42 | $3.67 – $330.00 |
Last updated: Apr 1, 2026
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