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 100 Mcg/5Ml FK
Sioux Falls, SD
See all hospitals reporting HCPCS J0651 →Price type
Avera Heart Hospital’s median price of $7 is 40% below the median hospital's median price ($11), higher than 8% of the 1,464 hospitals reporting HCPCS J0651. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 9 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 | Medica com fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Medica ind fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Wellmark hmo fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Wellmark ppo fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 5 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 6 | Medica ind percent of total billed charges · inpatientfrom % of charges | $253 | $253 | — | — | — | $253 – $253 |
| 7 | Medica com percent of total billed charges · inpatientfrom % of charges | $298 | $298 | — | — | — | $298 – $298 |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $333 | $333 | — | — | — | $333 – $333 |
| 9 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $333 | $333 | — | — | — | $333 – $333 |
Last updated: Apr 1, 2026
See Levothyroxine sodium injection, 10 mcg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.