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
Inj, levothyroxine, hikma
Cedar Rapids, IA
Negotiated rates from the hospital’s own file: 5 payers, 17 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 | UnitedHealthcare hmo fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | UnitedHealthcare ppo fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Wellmark commercial fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Wellmark commercial fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Wellmark hmo fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Wellmark hmo fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Wellmark ppo fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Wellmark ppo fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Aetna medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Molina medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 11 | Wellmark medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Humana medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 13 | UnitedHealthcare medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 14 | UnitedHealthcare hmo fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 15 | UnitedHealthcare ppo fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 16 | Aetna hmo fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 17 | Aetna ppo fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |