Levothyroxine sodium injection, 10 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

levothyroxine 100 mcg Solr 1 each VIAL

Ulm, MN

See all hospitals reporting HCPCS J0651 →

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Pricing by billing methodology

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How this price compares nationally

Allina Health Systems’s median price of $180 is 1541% above the median hospital's median price ($11), higher than 83% of the 1,464 hospitals reporting HCPCS J0651. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0651 at Allina Health Systems

Negotiated rates from the hospital’s own file: 9 payers, 25 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	Bcbs Mn bc pmap (n) facility · other · outpatient	$7	$7	—	—	—	$7 – $7
2	Aetna allina aetna medicare (n) facility · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
3	Medicare medicare (n) facility · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
4	Bcbs Mn bc premier(n) facility · other · outpatient	$7	$7	—	—	—	$7 – $7
5	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$9	$9	—	—	—	$9 – $9
6	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$9	$9	—	—	—	$9 – $9
7	Bcbs Mn bc state health plan (n) facility · other · outpatient	$10	$10	—	—	—	$10 – $10
8	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
9	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
10	Medicaid medicaid ma (n) facility · other · outpatient	$139	$139	—	—	—	$139 – $139
11	Medica medica medicare (r) facility · fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
12	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
13	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$148	$148	—	—	—	$148 – $148
14	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$195	$195	—	—	—	$195 – $195
15	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
16	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$210	$210	—	—	—	$210 – $210
17	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$212	$212	—	—	—	$212 – $212
18	Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges	$222	$222	—	—	—	$222 – $222
19	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
20	Cigna hpi cigna (n) facility · other · outpatient	$260	$260	—	—	—	$260 – $260
21	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
22	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
23	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
24	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
25	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$271	$271	—	—	—	$271 – $271

Last updated: Jun 16, 2026

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