Injection of levothyroxine sodium, 10 mcg at Lancaster General Health

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.

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Generated: October 20, 2026

Original text from hospital filings

LEVOTHYROXINE SODIUM 100 MCG/ML IV SOLN

Lancaster, PA

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Pricing by billing methodology

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How this price compares nationally

Lancaster General Health’s median price of $138 is 1630% above the median hospital's median price ($8), higher than 97% of the 1,067 hospitals reporting HCPCS J0652. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0652 at Lancaster General Health

Negotiated rates from the hospital’s own file: 9 payers, 27 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	Cigna cigna new business facility · fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
2	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$5	$5	—	—	—	$5 – $5
3	Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
4	Amerihealth Caritas amerihealth caritas medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
5	Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
6	Aetna aetna commercial facility · case rate · outpatient	$14	$14	—	—	—	$14 – $14
7	Aetna aetna medicare advantage facility · other · outpatient	$39	$39	—	—	—	$39 – $39
8	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$40	$40	—	—	—	$40 – $40
9	Devoted devoted health medicare advantage facility · other · outpatient	$67	$67	—	—	—	$67 – $67
10	Highmark highmark chip facility · other · outpatient	$81	$81	—	—	—	$81 – $81
11	Oscar oscar health plan facility · other · outpatient	$82	$82	—	—	—	$82 – $82
12	Highmark highmark aca facility · other · outpatient	$97	$97	—	—	—	$97 – $97
13	Highmark highmark commercial preferred facility · other · outpatient	$112	$112	—	—	—	$112 – $112
14	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
15	Highmark highmark commercial facility · other · outpatient	$139	$139	—	—	—	$139 – $139
16	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
17	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
18	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
19	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
20	Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
21	Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
22	Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
23	Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
24	Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
25	Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167

Page 1 of 2 · 27 rates

Last updated: Mar 31, 2026

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