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 500 mcg recon soln 1 each Vial
San Angelo, TX
See all hospitals reporting HCPCS J0650 →Price type
Shannon River Crest Hospital’s median price of $412 is 1075% above the median hospital's median price ($35), higher than 88% of the 1,643 hospitals reporting HCPCS J0650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | $725 | 70% | — | $305 – $1.8k |
| 2 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $725 | 70% | — | $305 – $1.8k |
| 3 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $791 | 70% | — | $333 – $1.9k |
| 4 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $824 | 70% | — | $347 – $2.0k |
| 5 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $824 | 70% | — | $347 – $2.0k |
| 6 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $824 | 70% | — | $347 – $2.0k |
| 7 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $824 | 70% | — | $347 – $2.0k |
| 8 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $824 | 70% | — | $347 – $2.0k |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $824 | 70% | — | $347 – $2.0k |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $824 | 70% | — | $347 – $2.0k |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $824 | 70% | — | $347 – $2.0k |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $857 | 70% | — | $361 – $2.1k |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $857 | 70% | — | $361 – $2.1k |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $879 | 70% | — | $370 – $2.1k |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $879 | 70% | — | $370 – $2.1k |
Last updated: Dec 8, 2025
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