Levothyroxine sodium injection, 100 mcg at Mariners Hospital

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 20mcg/1ml IV

TAVERNIER, FL

See all hospitals reporting HCPCS J0650 →

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How this price compares nationally

Mariners Hospital’s median price of $215 is 514% above the median hospital's median price ($35), higher than 75% of the 1,647 hospitals reporting HCPCS J0650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0650 at Mariners Hospital

Negotiated rates from the hospital’s own file: 8 payers, 31 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 my blue ex percent of total billed charges · bothfrom % of charges	$126	$126	$89	70%	—	$37 – $215
2	Blue Cross Blue Shield bcbs medicare ppo percent of total billed charges · bothfrom % of charges	$153	$153	$108	70%	—	$45 – $261
3	Medica medica mcr hmo percent of total billed charges · bothfrom % of charges	$153	$153	$108	70%	—	$45 – $261
4	Medicare simplyhlth mc hmo nc percent of total billed charges · bothfrom % of charges	$153	$153	$108	70%	—	$45 – $261
5	UnitedHealthcare united hlth mc hmo percent of total billed charges · bothfrom % of charges	$153	$153	$108	70%	—	$45 – $261
6	Humana careplus mc hmo percent of total billed charges · bothfrom % of charges	$167	$167	$117	70%	—	$49 – $284
7	Humana humana medicare percent of total billed charges · bothfrom % of charges	$167	$167	$117	70%	—	$49 – $284
8	Aetna aetna medicare percent of total billed charges · bothfrom % of charges	$167	$167	$118	70%	—	$49 – $285
9	Cigna cigna medicare advantage percent of total billed charges · bothfrom % of charges	$174	$174	$123	70%	—	$51 – $297
10	Medicare devoted health mc hmo percent of total billed charges · bothfrom % of charges	$206	$206	$145	70%	—	$61 – $352
11	Blue Cross Blue Shield bcbs fl simplyblue hmo percent of total billed charges · bothfrom % of charges	$469	$469	$330	70%	—	$138 – $799
12	Aetna aetna hmo exchange percent of total billed charges · bothfrom % of charges	$517	$517	$364	70%	—	$153 – $881
13	Cigna cigna connect network exchange percent of total billed charges · bothfrom % of charges	$517	$517	$364	70%	—	$153 – $881
14	Blue Cross Blue Shield bcbs ppc cah percent of total billed charges · bothfrom % of charges	$546	$546	$385	70%	—	$161 – $931
15	Blue Cross Blue Shield blue care hmo percent of total billed charges · bothfrom % of charges	$546	$546	$385	70%	—	$161 – $931
16	Blue Cross Blue Shield blue select percent of total billed charges · bothfrom % of charges	$546	$546	$385	70%	—	$161 – $931
17	Aetna aetna catastrophic percent of total billed charges · bothfrom % of charges	$582	$582	$410	70%	—	$172 – $993
18	Aetna aetna hmo percent of total billed charges · bothfrom % of charges	$582	$582	$410	70%	—	$172 – $993
19	Aetna aetna ppo percent of total billed charges · bothfrom % of charges	$582	$582	$410	70%	—	$172 – $993
20	Aetna aetna tier 2 percent of total billed charges · bothfrom % of charges	$582	$582	$410	70%	—	$172 – $993
21	Cigna cigna hmo percent of total billed charges · bothfrom % of charges	$582	$582	$410	70%	—	$172 – $993
22	Cigna cigna ppo percent of total billed charges · bothfrom % of charges	$582	$582	$410	70%	—	$172 – $993
23	UnitedHealthcare intl united health percent of total billed charges · bothfrom % of charges	$582	$582	$410	70%	—	$172 – $993
24	UnitedHealthcare nhp hmo percent of total billed charges · bothfrom % of charges	$582	$582	$410	70%	—	$172 – $993
25	UnitedHealthcare united hmo percent of total billed charges · bothfrom % of charges	$582	$582	$410	70%	—	$172 – $993

Page 1 of 2 · 31 rates

Last updated: Mar 30, 2026

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