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NDC 68180097001

LEVOTHYROXINE SODIUM 112 MCG PO TABS

Reported by 81 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
1Allen Memorial Hospital CorporationWaterloo, IA$0$1$1$1$0
2Sanford Fargo Medical CenterFargo, ND$0$1$1$1$0
3Sanford USD Medical CenterSioux Falls, SD$0$1$1$1$0
4Sanford WheatonWheaton, MN$1$3$2$3$1
5Sanford Luverne Medical CenterLuverne, MN$0$1$1$1$0
6Sanford Canton Inwood Medical CenterCanton, SD$1$1$1$1$0
7Sanford Vermillion HospitalVermillion, SD$0$1$1$1$0
8Sanford Webster HospitalWebster, SD$0$1$1$1$0
9IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$0$1$1$1$0
10IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$0$1$1$1$0
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