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NDC 9999911084

LEVOTHYROXINE 25 MCG/ML ORAL SUSPENSION - COMPOUND

Reported by 20 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

$21

Average

$27

Median

$27

High

$36

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Catholic Health Initiatives ColoradoColorado Springs, CO$21$23$9—$11$39
2Catholic Health Initiatives ColoradoSalt Lake City, UT$24$27$8—$16$45
3Catholic Health Initiatives ColoradoColorado Springs, CO$22$26$9—$12$39
4Catholic Health Initiatives ColoradoLehi, UT$24$27$8—$16$45
5St Francis HospitalColorado Springs, CO$20$22$8—$11$38
6Longmont United HospitalLongmont, CO$18$22$10—$11$40
7Catholic Health Initiatives ColoradoFrisco, CO$27$29$9—$12$41
8Commonspirit Kansas, Inc.Ulysses, KS$37$31$12—$14$42
9Commonspirit Kansas, Inc.Dodge City, KS$36$34$6—$16$40
10Catholic Health Initiatives ColoradoPueblo, CO$26$26$9—$12$39
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