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NDC 51079-0444-01

LEVOTHYROXINE 25 MCG ORAL TAB

Reported by 40 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$0

Average

$6

Median

$3

High

$24

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$0$2$4$11$3
2Northwestern Medicine Kishwaukee HospitalDeKalb, IL$2$8$8$11$2
3Northwestern Medicine Valley West HospitalSandwich, IL$2$7$6$11$2
4Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$0$1$1$2$0
5Northwestern Medicine Delnor HospitalGeneva, IL$1$3$3$5$1
6Northwestern Lake Forest HospitalLake Forest, IL$0$1$1$2$1
7Northwestern Medicine Marianjoy Rehabilitation HospitalWheaton, IL$2$2$3$4$1
8Franciscan Health SystemTacoma, WA$20$23$23$26$2
9Harrison Medical CenterSilverdale, WA$18$24$24$31$3
10Enumclaw Regional Hospital AssociationEnumclaw, WA$5$7$10$31$7
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