LEVOTHYROXINE SODIUM FOR IV INJ 100 MCG - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Medical Center Enterprise | Enterprise, AL | $2.49 | $19.91 | $27.65 | $2.49 - $107 |
| Gadsden Regional Medical Center | Gadsden, AL | $3.31 | $22.88 | $27.60 | $3.31 - $1,525 |
| Mat-Su Regional Medical Center | Palmer, AK | $11.40 | $28.88 | $38.00 | $4.07 - $36.48 |
| Grandview Medical Center | Birmingham, AL | $10.50 | $42.00 | $70.00 | $10.50 - $142 |
| Crestwood Medical Center | Huntsville, AL | $13.87 | $53.94 | $77.05 | $6.87 - $125 |
| Flowers Hospital | Dothan, AL | $11.28 | $56.38 | $75.17 | $10.77 - $116 |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $145 | - | $302 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $171 | - | $356 | - |
| Swedish Issaquah | Issaquah, WA | $171 | - | $356 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $205 | - | $585 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $205 | - | $585 | - |
| Providence St. Joseph Hospital | Eureka, CA | $213 | - | $444 | - |
| St. Mary Medical Center | Long Beach, CA | $213 | - | $444 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $213 | - | $444 | - |
| Providence St. Peter Hospital | Olympia, WA | $221 | - | $425 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $226 | - | $443 | - |
| Kadlec Regional Medical Center | Richland, WA | $243 | - | $347 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $248 | - | $487 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $248 | - | $487 | - |
| Providence St. Joseph Medical Center | Polson, MT | $267 | - | $334 | - |
| St. Patrick Hospital | Missoula, MT | $267 | - | $334 | - |
| Providence Newberg Medical Center | Newberg, OR | $287 | - | $383 | - |
| Providence Seaside Hospital | Seaside, OR | $287 | - | $383 | - |
| Providence St. Vincent Medical Center | Portland, OR | $287 | - | $383 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $287 | - | $383 | - |
| Saint John'S Health Center | Santa Monica, CA | $302 | - | $863 | - |
| Providence Centralia Hospital | Centralia, WA | $317 | - | $609 | - |
| Providence Alaska Medical Center | Anchorage, AK | $336 | - | $431 | - |
| Providence Portland Medical Center | Portland, OR | $338 | - | $450 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $366 | - | $488 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $366 | - | $488 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $389 | - | $555 | - |
| Providence Seward Hospital | Seward, AK | $395 | - | $507 | - |
| Covenant Medical Center | Lubbock, TX | $418 | - | $994 | - |
| Grace Surgical Hospital | Lubbock, TX | $418 | - | $995 | - |
| Providence Holy Family Hospital | Spokane, WA | $581 | - | $830 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $581 | - | $830 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $586 | - | $1,675 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $586 | - | $1,675 | - |
| Covenant Hospital Plainview | Plainview, TX | $617 | - | $1,468 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $617 | - | $1,468 | - |
| Providence Mount Carmel Hospital | Colville, WA | $683 | - | $976 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $846 | - | $1,084 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.