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 0.5MG [PFS] INJ [0203-01]
Abilene, TX
See all hospitals reporting HCPCS J3490 →Price type
Hendrick Medical Center’s median price of $114 is 137% above the median hospital's median price ($48), higher than 74% of the 1,749 hospitals reporting HCPCS J3490. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 15 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Tx marketplace facility · percent of total billed charges · inpatientfrom % of charges | $51.48 | $371.86 | $0.04 – $33,305 |
| 2 | Bcbs Tx marketplace facility · percent of total billed charges · outpatientfrom % of charges | $54.34 | $392.48 | $0.04 – $35,156 |
| 3 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $57.20 | $413.18 | $0.04 – $37,006 |
| 4 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $60.06 | $433.75 | $0.05 – $38,856 |
| 5 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $60.06 | $433.84 | $0.05 – $38,856 |
| 6 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $62.92 | $454.41 | $0.05 – $40,706 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $113.25 | $818.09 | $0.09 – $73,272 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $114.68 | $828.42 | $0.09 – $74,197 |
| 9 | Bcbs Tx traditional facility · percent of total billed charges · inpatientfrom % of charges | $120.12 | $867.67 | $0.09 – $77,712 |
| 10 | Bcbs Tx traditional facility · percent of total billed charges · outpatientfrom % of charges | $120.12 | $867.67 | $0.09 – $77,712 |
| 11 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $143.00 | $1,033 | $0.11 – $92,515 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $180.17 | $1,302 | $0.14 – $116,568 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $180.17 | $1,302 | $0.14 – $116,568 |
| 14 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $254.53 | $1,839 | $0.20 – $164,676 |
| 15 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $254.53 | $1,839 | $0.20 – $164,676 |
Last updated: Oct 1, 2026
See Flumazenil IV injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.