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
LEVOTHY NOS 10MCG/MLINJ
CONROE, TX
See all hospitals reporting HCPCS J0650 →Price type
Hca Houston Healthcare Conroe’s median price of $82 is 133% above the median hospital's median price ($35), higher than 59% of the 1,647 hospitals reporting HCPCS J0650. 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, 26 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 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | UnitedHealthcare smallgroup fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Cigna csn fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Cigna openaccessplus fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Blue Cross Blue Shield bav fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 8 | Cigna ppo fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $38 | $26 | $17 | 66% | — | $2 – $40 |
| 10 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $38 | $26 | $17 | 66% | — | $2 – $40 |
| 11 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $38 | $26 | $17 | 66% | — | $2 – $40 |
| 12 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $38 | $26 | $17 | 66% | — | $2 – $40 |
| 13 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $38 | $26 | $17 | 66% | — | $2 – $40 |
| 14 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 15 | Blue Cross Blue Shield hmo fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 16 | Blue Cross Blue Shield ppo fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 17 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $42 | $29 | $19 | 66% | — | $2 – $44 |
| 18 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $111 | $77 | $51 | 66% | — | $6 – $116 |
| 19 | Molina hix percent of total billed charges · outpatientfrom % of charges | $170 | $119 | $78 | 66% | — | $9 – $178 |
| 20 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $200 | $140 | $92 | 66% | — | $10 – $211 |
| 21 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $200 | $140 | $92 | 66% | — | $10 – $211 |
| 22 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $220 | $154 | $101 | 66% | — | $11 – $231 |
| 23 | UnitedHealthcare globalappendix percent of total billed charges · outpatientfrom % of charges | $283 | $198 | $130 | 66% | — | $14 – $297 |
| 24 | First Health comm percent of total billed charges · outpatientfrom % of charges | $335 | $234 | $154 | 66% | — | $17 – $352 |
| 25 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $471 | $330 | $217 | 66% | — | $24 – $495 |
Last updated: May 14, 2026
See Levothyroxine sodium injection, 100 mcg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.