NDC 904695561
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 125 mcg (0.125 mg) Tab [CITY]
Based on 460–478 billing samples across every hospital reporting.
Low
$1
Average
$78
Median
$3
High
$792
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 31 hospitals; the 90th percentile is 232.2× 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 | $7 | $9 | $4 | 45% | 460–478 | $3 – $15 |
| 2 | Sanford Medical Center Bismarck Bismarck, ND | $1 | $1 | $0 | 27% | — | $1 – $2 |
| 3 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | $0 | 35% | — | $0 – $1 |
| 4 | Sanford Westbrook Hospital Westbrook, MN | $1 | $1 | $0 | 26% | — | $0 – $1 |
| 5 | Sanford Worthington Medical Center Worthington, MN | $1 | $1 | $0 | 31% | — | $1 – $1 |
| 6 | Sanford Mayville Medical Center Mayville, ND | $4 | $3 | $1 | 24% | — | $1 – $4 |
| 7 | Sanford Chamberlain Medical Center Chamberlain, SD | $1 | $1 | $0 | 28% | — | $1 – $1 |
| 8 | Sanford Vermillion Hospital Vermillion, SD | $1 | $1 | $0 | 35% | — | $0 – $1 |
| 9 | Sanford Webster Hospital Webster, SD | $1 | $1 | $0 | 30% | — | $0 – $1 |
| 10 | Sanford Sheldon Medical Center Sheldon, IA | $1 | $1 | $0 | 34% | — | $0 – $1 |
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