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
$0
Average
$188
Median
$82
High
$2.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1154 hospitals; the 90th percentile is 56.9× 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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1,626 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $116 | $310 | $368 | 119% | 10–100 | $4 – $1.1k |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $1.7k | $1.7k | — | — | 3–30 | $1.7k – $1.7k |
| 3 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $67 | $59 | $17 | 29% | — | $35 – $74 |
| 4 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 5 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 8 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 10 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $525 | $525 | $13 | 3% | — | $512 – $539 |
| 11 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 14 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 5 | $271 | $282 | $70 | 25% | — | $191 – $391 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $108 | $425 | $455 | 107% | — | $99 – $1.1k |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $884 | $933 | 106% | — | $221 – $2.2k |
| 17 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $148 | $153 | $94 | 61% | — | $56 – $271 |
| 18 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 1 | $304 | $316 | $23 | 7% | — | $296 – $348 |
| 19 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $223 | $245 | $54 | 22% | — | $190 – $348 |
| 20 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 2 | $145 | $150 | $97 | 65% | — | $50 – $271 |
| 21 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 1 | $314 | $326 | $23 | 7% | — | $306 – $359 |
| 22 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 3 | $157 | $204 | $88 | 43% | — | $134 – $359 |
| 23 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $200 | $200 | $49 | 24% | — | $144 – $271 |
| 24 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $147 | $151 | $96 | 63% | — | $53 – $271 |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $147 | $151 | $96 | 63% | — | $53 – $271 |
← Payers reporting HCPCS J0650 · Snapshot 20261111T120946Z-9134e7f7