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 INJECTION *WRAPPED*
Hackensack, NJ
See all hospitals reporting HCPCS J0650 →Price type
Hmh Hospitals Corporation’s median price of $18 is 47% below the median hospital's median price ($35), higher than 43% 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: 7 payers, 14 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $1 | 22% | — | $5 – $7 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $7 | $7 | $2 | 22% | — | $6 – $9 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $2 | 22% | — | $8 – $12 |
| 4 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $11 | $11 | $2 | 22% | — | $9 – $13 |
| 5 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $11 | $11 | $2 | 22% | — | $9 – $13 |
| 6 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $3 | 22% | — | $11 – $17 |
| 7 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $3 | 22% | — | $11 – $17 |
| 8 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $3 | 22% | — | $11 – $17 |
| 9 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | $3 | 22% | — | $11 – $18 |
| 10 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | $3 | 22% | — | $11 – $18 |
| 11 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $3 | 22% | — | $12 – $19 |
| 12 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $18 | $18 | $4 | 22% | — | $14 – $22 |
| 13 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | $6 | 22% | — | $20 – $32 |
| 14 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $28 | $28 | $6 | 22% | — | $22 – $34 |
Last updated: Dec 31, 2025
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.