Injection of liothyronine (thyroid hormone), per microgram at Proctor Community 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION

Peoria, IL

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How this price compares nationally

Proctor Community Hospital’s median price of $619 is 741% above the median hospital's median price ($74), higher than 78% of the 539 hospitals reporting HCPCS J0654. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0654 at Proctor Community Hospital

Negotiated rates from the hospital’s own file: 9 payers, 22 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 case rate · outpatient	$40	$40	—	—	—	$40 – $40
2	Blue Cross Blue Shield medicare advantage case rate · outpatient	$40	$40	—	—	—	$40 – $40
3	Humana medicare advantage case rate · outpatient	$40	$40	—	—	—	$40 – $40
4	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
5	Molina medicare-medicaid (mmai/dual) case rate · outpatient	$40	$40	—	—	—	$40 – $40
6	UnitedHealthcare medicare advantage case rate · outpatient	$40	$40	—	—	—	$40 – $40
7	UnitedHealthcare va ccn case rate · outpatient	$40	$40	—	—	—	$40 – $40
8	WellCare medicare advantage hmo case rate · outpatient	$40	$40	—	—	—	$40 – $40
9	UnitedHealthcare ppo case rate · outpatient	$119	$119	—	—	—	$119 – $119
10	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$516	$516	—	—	—	$516 – $516
11	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$516	$516	—	—	—	$516 – $516
12	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$619	$619	—	—	—	$619 – $619
13	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$619	$619	—	—	—	$619 – $619
14	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$619	$619	—	—	—	$619 – $619
15	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$804	$804	—	—	—	$804 – $804
16	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$804	$804	—	—	—	$804 – $804
17	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$815	$815	—	—	—	$815 – $815
18	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$994	$994	—	—	—	$994 – $994
19	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
20	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
22	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k

Last updated: Apr 15, 2026

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