NDC 904695261
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
LEVOTHROID 0.088 MG
Low
$0
Average
$2
Median
$2
High
$5
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Doylestown Hospital Doylestown, PA | $5 | $5 | — | — | — | $1 – $5 |
| 2 | Hillsdale Hospital Hillsdale, MI | $0 | $0 | — | — | — | $0 – $4 |
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