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 SODIUM 100 MCG IV SOLR [122272]
Gary, IN
See all hospitals reporting HCPCS J0650 →Price type
The Methodist Hospitals, Inc.’s median price of $6 is 83% below the median hospital's median price ($35), higher than 2% of the 1,647 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: 10 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 | Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Anthem individual on exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Anthem medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Anthem pathway essentials facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Caresource caresource facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Medicare medicare facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 11 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 12 | UnitedHealthcare navigate and core payer facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 13 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $193 | $193 | $13 | 7% | — | $180 – $207 |
| 14 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $210 | $210 | $15 | 7% | — | $195 – $225 |
| 15 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $314 | $314 | $22 | 7% | — | $292 – $335 |
| 16 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $342 | $342 | $24 | 7% | — | $318 – $366 |
| 17 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $367 | $367 | $26 | 7% | — | $342 – $393 |
| 18 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $372 | $372 | $26 | 7% | — | $346 – $398 |
Last updated: Aug 18, 2026
See Levothyroxine sodium injection, 100 mcg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.