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HCPCS J0651

LEVOTHYROXINE SODIUM FOR IV INJ 100 MCG - as described in hospitals' own price files.

31hospitals publishing a price
$366median cash price
$35.00median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Grandview Medical CenterBirmingham, AL$10.50$35.00$70.00$3.75 - $142
Swedish Edmonds HospitalEdmonds, WA$214-$446-
Healdsburg HospitalHealdsburg, CA$250-$491-
Petaluma Valley HospitalPetaluma, CA$250-$491-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$250-$491-
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$256-$732-
Providence Holy Cross Medical CenterMission Hills, CA$256-$732-
St. Mary Medical CenterLong Beach, CA$259-$539-
Providence St. Jude Medical CenterFullerton, CA$259-$539-
Providence Queen Of The Valley Medical CenterNapa, CA$287-$564-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$302-$863-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$302-$863-
Providence Saint Joseph Medical CtrBurbank, CA$302-$863-
Kadlec Regional Medical CenterRichland, WA$305-$435-
St. Patrick HospitalMissoula, MT$364-$455-
Providence Hood River Memorial HospitalHood River, OR$366-$488-
Providence Newberg Medical CenterNewberg, OR$366-$488-
Providence Seaside HospitalSeaside, OR$366-$488-
Providence Medford Medical CenterMedford, OR$366-$488-
Providence Milwaukie HospitalMilwaukie, OR$366-$488-
Providence St. Vincent Medical CenterPortland, OR$366-$488-
Providence Portland Medical CenterPortland, OR$366-$488-
Providence Willamette Falls Medical CenterOregon City, OR$366-$488-
Providence Seward HospitalSeward, AK$496-$636-
Providence Alaska Medical CenterAnchorage, AK$496-$636-
Providence St. Mary Medical CenterWalla Walla, WA$574-$820-
Covenant Hospital PlainviewPlainview, TX$617-$1,468-
Covenant Medical CenterLubbock, TX$617-$1,468-
Providence Holy Family HospitalSpokane, WA$697-$996-
Providence Mount Carmel HospitalColville, WA$697-$996-
Providence St. Joseph HospitalChewelah, WA$697-$996-

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.

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