NDC 42023-0202-01
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
42023-0202-01 - levothyroxine 200 mcg (0.2 mg) Pow
Reported by 13 hospitals in the network under the other methodology.
Based on 1–10 billing samples across every hospital reporting.
Low
$3
Average
$760
Median
$501
High
$2.7k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 13 hospitals; the 90th percentile is 81.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Inspira Medical Center Vineland | Vineland, NJ | $3 | $3 | — | 1–10 | $3 | $784 |
| 2 | Bluffton Health System LLC | Bluffton, IN | $477 | $477 | — | — | $440 | $1.7k |
| 3 | Dukes Health System LLC | Peru, IN | $804 | $788 | $140 | — | $465 | $2.5k |
| 4 | St. Joseph Health System, LLC | Wayne, IN | $2.5k | $2.5k | — | — | $604 | $2.5k |
| 5 | Gadsden Regional Medical Center LLC | Gadsden, AL | $121 | $121 | — | — | $121 | $121 |
| 6 | HMA Santa Rosa Medical Center LLC | Milton, FL | $724 | $2.7k | $5.3k | — | $140 | $16.8k |
| 7 | Laredo Texas Hospital Company LP | Laredo, TX | $3 | $3 | $0 | — | $2 | $32 |
| 8 | White Memorial Medical Center | Angeles, CA | $501 | $501 | $130 | — | $24 | $1.4k |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $609 | $486 | $307 | — | $5 | $761 |
| 10 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $761 | $628 | $226 | — | $5 | $761 |
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