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
LEVOTHYROXINE 100 MCG IV SOLR [113060]
Low
$1
Average
$263
Median
$152
High
$17.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
996 hospitals; the 90th percentile is 46.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,445 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Pagosa Springs Medical Center Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $68 | $102 | 150% | 3–30 | $0 – $266 |
| 2 | Highland District Hospital Hillsboro, OH percent of total billed charges · outpatientfrom % of charges | 1 | $258 | $258 | — | — | 1–10 | $258 – $258 |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $265 | $262 | $25 | 9% | 1–10 | $234 – $296 |
| 4 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · inpatient | 1 | $306 | $270 | $77 | 29% | — | $163 – $342 |
| 5 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $306 | $270 | $77 | 29% | — | $163 – $342 |
| 6 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 7 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $245 | $245 | — | — | — | $245 – $245 |
| 9 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 10 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $245 | $245 | — | — | — | $245 – $245 |
| 11 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $245 | $245 | — | — | — | $245 – $245 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $11 | $11 | $1 | 7% | — | $11 – $12 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $379 | $773 | $646 | 84% | — | $238 – $1.9k |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $193 | $157 | 82% | — | $69 – $414 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 2 | $154 | $217 | $210 | 97% | — | $26 – $534 |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $319 | $450 | $432 | 96% | — | $58 – $1.1k |
| 18 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 2 | $44 | $166 | $184 | 111% | — | $33 – $482 |
| 19 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $67 | $202 | $259 | 128% | — | $9 – $733 |
| 20 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 2 | $186 | $279 | $254 | 91% | — | $44 – $701 |
| 21 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 23 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $9 | $9 | $3 | 27% | — | $7 – $12 |
| 24 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $15 | $15 | $2 | 11% | — | $14 – $17 |
| 25 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $15 | $15 | $2 | 11% | — | $14 – $17 |
← Payers reporting HCPCS J0650 · Snapshot 20261111T120946Z-9134e7f7