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HCPCS J0650

Injection, levothyroxine sodium, not otherwise specified, 10 mcg

Current codeInjection - Growth/Hormone Factor40 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$21.21 – $3,0988 plans$200 – $730$249 – $912
Highline Medical CenterBurienFile dated 2026-02-28$46.90 – $2946 plans$33.30 – $99.89$109 – $327
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$191 – $243$273 – $347
Olympic Medical CenterPort AngelesFile dated 2026-06-24$254 – $4546 plans$363$454
PeaceHealth Peace Island Medical CenterFriday Harbor—$114 – $170$176 – $262
PeaceHealth Southwest Medical CenteVancouver—$114 – $170$176 – $262
PeaceHealth St John Medical CenterLongview—$114 – $170$176 – $262
PeaceHealth St Joseph Medical CenterBellingham—$114 – $170$176 – $262
PeaceHealth United General Medical CenterSedro Woolley$5,2991 plan$114 – $170$176 – $262
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$581 – $697$830 – $996
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$221 – $317$425 – $609
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$581 – $697$830 – $996
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$581 – $697$831 – $996
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$581 – $697$830 – $996
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$347 – $457$496 – $653
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$221$425
Skagit Valley HospitalMount Vernon$36.00 – $8677 plans$200 – $730$249 – $912
St Anthony HospitalGig HarborFile dated 2026-02-28$59.98 – $2454 plans$33.17 – $99.49$109 – $327
St Clare HospitalLakewoodFile dated 2026-02-28$59.98 – $2454 plans$31.44 – $94.29$109 – $327
St Elizabeth HospitalEnumclawFile dated 2026-02-28$39.26 – $2949 plans$38.54 – $116$109 – $327
St Francis Community HospitalFederal WayFile dated 2026-02-28$59.98 – $2454 plans$34.23 – $103$109 – $327
St Joseph Medical CenterTacomaFile dated 2026-02-28$59.98 – $2454 plans$36.12 – $108$109 – $327
St Michael Medical CenterSilverdaleFile dated 2026-02-28$68.71 – $29410 plans$48.13 – $144$109 – $327
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$171 – $549$356 – $1,144
Swedish IssaquahIssaquahFile dated 2026-04-01—$171$356
Swedish Medical CenterSeattleFile dated 2026-04-01—$129 – $269$270 – $561
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$145 – $171$302 – $356
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$13.08 – $27.103 plans$8.87 – $14.85$22.17 – $37.12
Yakima Valley MemorialYakimaFile dated 2026-08-27$28.31 – $31.851 plan$20.22 – $22.76$50.55 – $56.88

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.