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NDC 68180096901

LEVOTHYROXINE SODIUM 100 MCG PO TABS

Reported by 85 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

$23

Median

$1

High

$352

Hospitals reporting this code

#HospitalLocation
1Meriter Hospital, IncMadison, WI$0$1$1$1$0
2Sanford Fargo Medical CenterFargo, ND$0$1$1$1$0
3Sanford Medical Center BismarckBismarck, ND$1$1$1$2$0
4Sanford WheatonWheaton, MN$1$3$2$3$1
5Sanford Bagley Medical CenterBagley, MN$1$5$5$6$1
6Sanford Canton Inwood Medical CenterCanton, SD$1$1$1$1$0
7Aurora Medical Center GraftonGrafton, WI$5$5$6$8$1
8Aurora Medical Center KenoshaKenosha, WI$8$9$10$13$2
9Aurora Medical Center Mount PleasantMount Pleasant, WI$8$10$10$13$2
10IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$0$1$1$1$0
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