Levothyroxine sodium injection, 10 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLN [143970]

Arlington, TX

See all hospitals reporting HCPCS J0651 →

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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 $41 is 276% above the median hospital's median price ($11), higher than 69% 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 AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 33 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 medicare advantage case rate · outpatient	$7	$7	—	—	—	$7 – $7
2	Humana medicare advantage case rate · outpatient	$7	$7	—	—	—	$7 – $7
3	Humana medicare advantage ppo case rate · outpatient	$7	$7	—	—	—	$7 – $7
4	Molina medicare advantage case rate · outpatient	$7	$7	—	—	—	$7 – $7
5	WellCare medicare advantage hmo case rate · outpatient	$7	$7	—	—	—	$7 – $7
6	WellCare medicare advantage mmp case rate · outpatient	$8	$8	—	—	—	$8 – $8
7	UnitedHealthcare medicare advantage ppo case rate · outpatient	$8	$8	—	—	—	$8 – $8
8	UnitedHealthcare medicare advantage hmo case rate · outpatient	$8	$8	—	—	—	$8 – $8
9	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$8	$1	11%	—	$7 – $9
10	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$8	$1	11%	—	$7 – $9
11	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$8	$1	11%	—	$7 – $9
12	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$9	$9	$1	11%	—	$8 – $10
13	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$9	$9	$1	11%	—	$8 – $10
14	Blue Cross Blue Shield hmo fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
15	Blue Cross Blue Shield exchange fee schedule · outpatient	$19	$19	—	—	—	$19 – $19
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$20	$20	—	—	—	$20 – $20
17	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$31	$31	$3	11%	—	$28 – $35
18	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$37	$37	$4	11%	—	$33 – $41
19	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$41	$41	$5	11%	—	$37 – $46
20	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$46	$46	$5	11%	—	$41 – $52
21	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$49	$49	$5	11%	—	$44 – $55
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$49	$49	$5	11%	—	$44 – $55
23	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$50	$50	$6	11%	—	$44 – $55
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$62	$62	$7	11%	—	$55 – $69
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$63	$63	$7	11%	—	$56 – $70

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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