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 200 MCG INJECTION *WRAPPED*
Hackensack, NJ
See all hospitals reporting HCPCS J0651 →Price type
Hmh Hospitals Corporation’s median price of $18 is 61% above the median hospital's median price ($11), higher than 60% 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: 8 payers, 16 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 facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Optum managed medicaid facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $1 | 19% | — | $5 – $7 |
| 4 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 5 | Optum medicare advantage facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $11 | $11 | $2 | 19% | — | $9 – $14 |
| 7 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $11 | $11 | $2 | 19% | — | $9 – $14 |
| 8 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $3 | 19% | — | $12 – $17 |
| 9 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $3 | 19% | — | $12 – $17 |
| 10 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $3 | 19% | — | $12 – $17 |
| 11 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | $3 | 19% | — | $12 – $18 |
| 12 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | $3 | 19% | — | $12 – $18 |
| 13 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $3 | 19% | — | $13 – $20 |
| 14 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $4 | 19% | — | $15 – $23 |
| 15 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $27 | $27 | $5 | 19% | — | $22 – $32 |
| 16 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $28 | $28 | $5 | 19% | — | $23 – $34 |
Last updated: Dec 31, 2025
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