Levothyroxine sodium injection, 10 mcg at Valley County 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEVOTHYROXINE 100 MCG / 1 ML SDV

Ord, NE

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Pricing by billing methodology

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How this price compares nationally

Valley County Hospital’s median price of $124 is 1037% above the median hospital's median price ($11), higher than 79% of the 1,464 hospitals reporting HCPCS J0651. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0651 at Valley County Hospital

Negotiated rates from the hospital’s own file: 8 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	Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
2	Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
3	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
4	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
5	UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
6	Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
7	Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
8	WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
9	Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges	$207	$207	—	—	—	$207 – $207
10	Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges	$207	$207	—	—	—	$207 – $207
11	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$218	$218	—	—	—	$218 – $218
12	Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges	$218	$218	—	—	—	$218 – $218
13	Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges	$218	$218	—	—	—	$218 – $218
14	Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges	$218	$218	—	—	—	$218 – $218
15	Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges	$218	$218	—	—	—	$218 – $218
16	MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges	$222	$222	—	—	—	$222 – $222
17	MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges	$222	$222	—	—	—	$222 – $222

Last updated: Jun 15, 2026

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