Levothyroxine sodium injection, 100 mcg at AMH Cath Labs LLC

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEVOTHYROXINE 200 MCG INTRAVENOUS SOLR [10714]

Arlington, TX

See all hospitals reporting HCPCS J0650 →

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $71 is 102% above the median hospital's median price ($35), higher than 56% of the 1,643 hospitals reporting HCPCS J0650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0650 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 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	Blue Cross Blue Shield hmo fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
2	Blue Cross Blue Shield exchange fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
3	Blue Cross Blue Shield ppo fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
4	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$37	$40	109%	—	$8 – $93
5	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$37	$40	109%	—	$8 – $93
6	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$9	$39	$42	109%	—	$9 – $98
7	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$9	$40	$43	109%	—	$9 – $100
8	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$9	$40	$44	109%	—	$9 – $102
9	Blue Cross Blue Shield traditional fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
10	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$33	$142	$155	109%	—	$33 – $361
11	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$39	$169	$184	109%	—	$39 – $429
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$44	$190	$207	109%	—	$44 – $482
13	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$49	$213	$232	109%	—	$49 – $541
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$52	$225	$245	109%	—	$52 – $572
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$52	$226	$245	109%	—	$52 – $573
16	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$53	$228	$248	109%	—	$53 – $578
17	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$66	$286	$311	109%	—	$66 – $726
18	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$66	$287	$312	109%	—	$66 – $729
19	Aetna asa percent of total billed charges · outpatientfrom % of charges	$67	$289	$314	109%	—	$67 – $733
20	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$67	$289	$314	109%	—	$67 – $733
21	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$71	$307	$334	109%	—	$71 – $779
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$83	$358	$390	109%	—	$83 – $909
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$83	$358	$390	109%	—	$83 – $909
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$89	$387	$422	109%	—	$89 – $984
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$89	$387	$422	109%	—	$89 – $984

Last updated: Apr 21, 2026

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