NDC 904695361
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 100 mcg (0.1 mg) Tab [CITY]
Based on 460–478 billing samples across every hospital reporting.
Low
$1
Average
$59
Median
$3
High
$760
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 43 hospitals; the 90th percentile is 196.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Tri-City Medical Center Oceanside, CA | $6 | $8 | $4 | 45% | 460–478 | $3 – $15 |
| 2 | Sanford Behavioral Health Thief River Falls Thief River Falls, MN | $5 | $4 | $1 | 29% | — | $2 – $6 |
| 3 | Sanford Medical Center Bismarck Bismarck, ND | $1 | $1 | $0 | 27% | — | $1 – $2 |
| 4 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | $0 | 36% | — | $0 – $1 |
| 5 | Sanford Westbrook Hospital Westbrook, MN | $1 | $1 | $0 | 26% | — | $0 – $1 |
| 6 | Sanford Aberdeen Medical Center Aberdeen, SD | $1 | $1 | $0 | 21% | — | $1 – $1 |
| 7 | Sanford Bagley Medical Center Bagley, MN | $6 | $5 | $1 | 25% | — | $2 – $6 |
| 8 | Sanford Hillsboro Medical Center Hillsboro, ND | $2 | $2 | $1 | 26% | — | $1 – $3 |
| 9 | Sanford Luverne Medical Center Luverne, MN | $1 | $1 | $0 | 31% | — | $0 – $1 |
| 10 | Sanford Clear Lake Medical Center Clear Lake, SD | $1 | $1 | $0 | 18% | — | $1 – $1 |
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