Levothyroxine sodium injection, 100 mcg at Allina Health Systems

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

levothyroxine 100 mcg Solr 1 each VIAL

Rapids, MN

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How this price compares nationally

Allina Health Systems’s median price of $160 is 357% above the median hospital's median price ($35), higher than 67% of the 1,647 hospitals reporting HCPCS J0650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0650 at Allina Health Systems

Negotiated rates from the hospital’s own file: 7 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare united healthcare (um) facility · case rate · outpatient	$0	$0	—	—	—	$0 – $0
2	Bcbs Mn bc pmap (amu) facility · other · outpatient	$7	$7	—	—	—	$7 – $7
3	Bcbs Mn bc premier (m u) facility · other · outpatient	$8	$8	—	—	—	$8 – $8
4	Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient	$10	$10	—	—	—	$10 – $10
5	Bcbs Mn bc state health plan (mu) facility · other · outpatient	$10	$10	—	—	—	$10 – $10
6	Bcbs Mn bc high value/performance network (mu) facility · other · outpatient	$11	$11	—	—	—	$11 – $11
7	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$55	$58	$10	17%	—	$48 – $72
8	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$61	$64	$11	17%	—	$53 – $79
9	Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges	$96	$102	$18	17%	—	$84 – $126
10	Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges	$102	$109	$19	17%	—	$90 – $134
11	Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges	$121	$129	$22	17%	—	$106 – $159
12	Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges	$149	$158	$27	17%	—	$131 – $195
13	Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges	$160	$170	$29	17%	—	$140 – $210
14	Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges	$191	$203	$35	17%	—	$167 – $250
15	Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges	$196	$208	$36	17%	—	$171 – $257
16	Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges	$205	$217	$37	17%	—	$179 – $268
17	Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges	$205	$217	$37	17%	—	$179 – $268
18	Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges	$215	$229	$39	17%	—	$188 – $282
19	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$219	$232	$40	17%	—	$191 – $286
20	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$230	$244	$42	17%	—	$201 – $301
21	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$230	$244	$42	17%	—	$201 – $301
22	Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges	$230	$244	$42	17%	—	$201 – $301

Last updated: Jun 17, 2026

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