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NDC 68180096601

LEVOTHYROXINE SODIUM 50 MCG PO TABS

Reported by 67 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

$27

Median

$1

High

$352

Hospitals reporting this code

#HospitalLocation
1Northwest Iowa Hospital CorporationSioux City, IA$0$1$1$1$0
2Trinity Medical CenterRock Island, IL$0$1$71$235$107
3Trinity Medical CenterBettendorf, IA$0$1$0$1$0
4Allen Memorial Hospital CorporationWaterloo, IA$0$1$1$1$0
5Sanford USD Medical CenterSioux Falls, SD$0$1$1$1$0
6Sanford WheatonWheaton, MN$1$3$2$3$1
7Sanford Hillsboro Medical CenterHillsboro, ND$1$2$2$3$1
8Sanford Sheldon Medical CenterSheldon, IA$0$1$1$1$0
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$0$1$1$1$0
10IHC Health Services, Inc,. DBA Intermountain Health Alta View HospitalSandy, UT$0$1$1$1$0
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