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 20 MCG/ML INTRAVENOUS SOLUTION
Hanover, PA
See all hospitals reporting HCPCS J0651 →Price type
UPMC Hanover’s median price of $9 is 17% below the median hospital's median price ($11), higher than 43% of the 1,459 hospitals reporting HCPCS J0651. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $0 | 10% | — | $3 – $3 |
| 2 | Highmark medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Humana medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 5 | Aetna medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Cigna medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $1 | 10% | — | $8 – $10 |
| 9 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $9 | $9 | $1 | 10% | — | $8 – $10 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $10 | $10 | $1 | 10% | — | $9 – $10 |
| 11 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $1 | 10% | — | $10 – $12 |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $1 | 10% | — | $10 – $12 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $1 | 10% | — | $10 – $12 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $1 | 10% | — | $10 – $13 |
| 15 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $12 | $12 | $1 | 10% | — | $11 – $13 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $12 | $12 | $1 | 10% | — | $11 – $13 |
| 17 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $13 | $13 | $1 | 10% | — | $12 – $14 |
| 18 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $1 | 10% | — | $12 – $14 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $13 | $13 | $1 | 10% | — | $12 – $14 |
| 20 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $1 | 10% | — | $12 – $14 |
| 21 | Highmark medicaid facility · fee schedule · outpatient | $15 | $15 | $8 | 53% | — | $7 – $23 |
| 22 | Highmark commercial facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
Last updated: Mar 6, 2026
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