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 100 MCG/5ML IV SOLN
Falls, MT
See all hospitals reporting HCPCS J0651 →Price type
Benefis Hospitals Inc’s median price of $198 is 1713% above the median hospital's median price ($11), higher than 85% 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: 11 payers, 21 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 | Aetna bhs hb medicare other · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Anthem bhs hb medicare other · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Kaiser bhs hb medicare other · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 5 | Medicare bhs hb medicare other · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 6 | WellCare bhs hb medicare other · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 8 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 9 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges | $166 | $166 | — | — | — | $166 – $166 |
| 10 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 11 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $180 | $180 | — | — | — | $180 – $180 |
| 12 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 13 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 14 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 15 | Cigna bhs hb allegiance percent of total billed charges · bothfrom % of charges | $200 | $200 | — | — | — | $200 – $200 |
| 16 | Healthpartners bhs hb allegiance percent of total billed charges · bothfrom % of charges | $200 | $200 | — | — | — | $200 – $200 |
| 17 | Kaiser bhs hb allegiance percent of total billed charges · bothfrom % of charges | $200 | $200 | — | — | — | $200 – $200 |
| 18 | Medical Mutual bhs hb allegiance percent of total billed charges · bothfrom % of charges | $200 | $200 | — | — | — | $200 – $200 |
| 19 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 20 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 21 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
Last updated: Mar 26, 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.