Levothyroxine sodium injection, 10 mcg at Lee's Summit Medical Center

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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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

505FK LEVOTH100MCG/MLINJ

Lee's Summit, MO

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How this price compares nationally

Lee's Summit Medical Center’s median price of $26 is 135% above the median hospital's median price ($11), higher than 65% of the 1,464 hospitals reporting HCPCS J0651. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0651 at Lee's Summit Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 18 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	Blue Cross Blue Shield tricare fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
2	UnitedHealthcare ksmgmcd fee schedule · outpatient	$7	$7	$0	4%	—	$6 – $7
3	Aetna Better Health mcd fee schedule · outpatient	$7	$7	$0	4%	—	$7 – $7
4	UnitedHealthcare momgmcd fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
5	UnitedHealthcare allpayerappendix fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
6	Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
7	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
8	Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
9	Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
10	Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
11	Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
12	Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges	$42	$42	—	—	—	$42 – $42
13	Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges	$42	$42	—	—	—	$42 – $42
14	Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
15	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
16	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
17	MultiPlan complimentarynetwork percent of total billed charges · outpatientfrom % of charges	$76	$76	—	—	—	$76 – $76
18	MultiPlan wcompmissouri percent of total billed charges · outpatientfrom % of charges	$82	$82	—	—	—	$82 – $82

Last updated: Mar 1, 2026

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