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NDC 9999911145

LEVOTHYROXINE 15 MCG/ML ORAL SUSPENSION (NEO/PED) - 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

$50

Average

$65

Median

$66

High

$86

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$51$56$22—$25$95
2Catholic Health Initiatives ColoradoSalt Lake City, UT$58$66$20—$39$108
3Catholic Health Initiatives ColoradoColorado Springs, CO$54$62$22—$29$95
4Catholic Health Initiatives ColoradoLehi, UT$58$66$20—$39$108
5St Francis HospitalColorado Springs, CO$49$52$19—$25$92
6Longmont United HospitalLongmont, CO$43$53$23—$25$97
7Catholic Health Initiatives ColoradoFrisco, CO$65$71$23—$29$99
8Commonspirit Kansas, Inc.Ulysses, KS$90$75$29—$34$102
9Commonspirit Kansas, Inc.Dodge City, KS$86$83$15—$38$97
10Catholic Health Initiatives ColoradoPueblo, CO$63$63$22—$30$95
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Look up this code directly

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