NDC 904695061
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
LEVOTHYROXINE SODIUM 50 MCG PO TABS
Low
$0
Average
$1
Median
$1
High
$2
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $2 | $2 | — | — | — | $0 – $2 |
| 2 | Hillsdale Hospital Hillsdale, MI | $0 | $0 | — | — | — | $0 – $4 |
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