RC 250
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.
Original text from hospital filings
LEVOTHYROXINE SODIUM INJ 100 MCG 5 ML VIAL
Maryville, IL
See all hospitals reporting RC 250 →Price type
Anderson Hospital’s median price of $18 is about the same as the median hospital's median price ($18), higher than 50% of the 1,901 hospitals reporting RC 250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 13 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 | Humana humana medicare professional · other · outpatient | $5.88 | $5.88 | $5.88 – $5.88 |
| 2 | Medicare medicare professional · other · outpatient | $5.88 | $5.88 | $5.88 – $5.88 |
| 3 | UnitedHealthcare united healthcare government professional · other · outpatient | $5.88 | $5.88 | $5.88 – $5.88 |
| 4 | Tricare tricare professional · other · outpatient | $32.86 | $32.86 | $6.80 – $58.92 |
| 5 | Devoted devoted health ppo facility · fee schedule · outpatient | $36.26 | $36.26 | $36.26 – $36.26 |
| 6 | Anthem anthem professional · percent of total billed charges · outpatientfrom % of charges | $32.40 | $37.76 | $3.19 – $83.05 |
| 7 | UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges | $14.19 | $46.47 | $0.21 – $663.70 |
| 8 | Anthem anthem facility · percent of total billed charges · outpatientfrom % of charges | $15.22 | $49.84 | $0.23 – $711.88 |
| 9 | Aetna aetna/coventry facility · percent of total billed charges · outpatientfrom % of charges | $16.74 | $54.83 | $0.25 – $783.17 |
| 10 | Cigna cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $18.45 | $60.41 | $0.28 – $862.81 |
| 11 | MultiPlan multiplan/phcs facility · percent of total billed charges · inpatientfrom % of charges | $21.28 | $69.70 | $0.32 – $995.55 |
| 12 | MultiPlan multiplan/phcs facility · percent of total billed charges · outpatientfrom % of charges | $21.28 | $69.70 | $0.32 – $995.55 |
| 13 | Tricare tricare facility · fee schedule · outpatient | $28.38 | $92.93 | $0.43 – $1,327 |
Last updated: Feb 6, 2026
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