Injection of levothyroxine sodium, 10 mcg at Central Georgia Rehabilitation 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 100 MCG/ML INTRAVENOUS SOLUTION

Macon, GA

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How this price compares nationally

Central Georgia Rehabilitation LLC’s median price of $352 is 4310% above the median hospital's median price ($8), higher than 99% of the 1,071 hospitals reporting HCPCS J0652. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0652 at Central Georgia Rehabilitation LLC

Negotiated rates from the hospital’s own file: 11 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	Aetna medicare advantage fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
2	Anthem medicare advantage fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
3	Humana medicare advantage fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
4	UnitedHealthcare medicare advantage fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
5	Caresource medicare advantage fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
6	Clover medicare advantage fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
7	Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges	$179	$179	—	—	—	$179 – $179
8	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$240	$240	—	—	—	$240 – $240
9	Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges	$261	$261	—	—	—	$261 – $261
10	Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges	$285	$285	—	—	—	$285 – $285
11	Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges	$305	$305	—	—	—	$305 – $305
12	Humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$352	$352	—	—	—	$352 – $352
13	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$353	$353	—	—	—	$353 – $353
14	Aetna pos percent of total billed charges · outpatientfrom % of charges	$388	$388	—	—	—	$388 – $388
15	Kaiser commercial percent of total billed charges · inpatientfrom % of charges	$388	$388	—	—	—	$388 – $388
16	Kaiser commercial percent of total billed charges · outpatientfrom % of charges	$388	$388	—	—	—	$388 – $388
17	MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges	$388	$388	—	—	—	$388 – $388
18	MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges	$388	$388	—	—	—	$388 – $388
19	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$393	$393	—	—	—	$393 – $393
20	Humana ppo percent of total billed charges · outpatientfrom % of charges	$410	$410	—	—	—	$410 – $410
21	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$412	$412	—	—	—	$412 – $412
22	MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges	$478	$478	—	—	—	$478 – $478
23	MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges	$478	$478	—	—	—	$478 – $478
24	Beechstreet commercial percent of total billed charges · inpatientfrom % of charges	$556	$556	—	—	—	$556 – $556
25	Beechstreet commercial percent of total billed charges · outpatientfrom % of charges	$556	$556	—	—	—	$556 – $556

Last updated: Nov 19, 2025

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