HCPCS J0650
Injection, levothyroxine sodium, not otherwise specified, 10 mcg
Current codeInjection - Growth/Hormone Factor40 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Cascade Valley Hospital | $21.21 – $3,098 | $200 – $730 | $249 – $912 |
| Deaconess Medical Center | — | — | — |
| Highline Medical Center | $46.90 – $294 | $33.30 – $99.89 | $109 – $327 |
| Island Hospital | $5.98 | — | — |
| Kadlec Regional Medical Center | $13.43 – $20.48 | $191 – $243 | $273 – $347 |
| Legacy Salmon Creek Medical Center | $10.82 – $16.49 | — | — |
| Mary Bridge Children's Hospital | $186 – $210 | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | $254 – $454 | $363 | $454 |
| Overlake Hospital Medical Center & Clinics | $10.03 – $10.67 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $11.86 – $13.43 | $581 – $697 | $830 – $996 |
| Providence Centralia Hospital | $14.94 – $46.58 | $221 – $317 | $425 – $609 |
| Providence Holy Family Hospital | $11.86 – $13.43 | $581 – $697 | $830 – $996 |
| Providence Mount Carmel Hospital | — | $581 – $697 | $831 – $996 |
| Providence Regional Medical Center Everett | $11.86 – $13.43 | — | — |
| Providence St Joseph Hospital | — | $581 – $697 | $830 – $996 |
| Providence St Mary Medical Center | $11.86 | $347 – $457 | $496 – $653 |
| Providence St Peter Hospital | $12.33 – $13.43 | $221 | $425 |
| Skagit Valley Hospital | $36.00 – $867 | $200 – $730 | $249 – $912 |
| St Anthony Hospital | $54.53 – $245 | $33.17 – $99.49 | $109 – $327 |
| St Clare Hospital | $54.53 – $245 | $31.44 – $94.29 | $109 – $327 |
| St Elizabeth Hospital | $36.32 – $294 | $38.54 – $116 | $109 – $327 |
| St Francis Community Hospital | $54.53 – $245 | $34.23 – $103 | $109 – $327 |
| St Joseph Medical Center | $54.53 – $245 | $36.12 – $108 | $109 – $327 |
| St Michael Medical Center | $69.80 – $294 | $48.13 – $144 | $109 – $327 |
| Swedish Edmonds Hospital | $13.43 – $15.40 | $171 – $549 | $356 – $1,144 |
| Swedish Issaquah | $13.43 – $15.40 | $171 | $356 |
| Swedish Medical Center | $13.43 | $129 – $269 | $270 – $561 |
| Swedish Medical Center / Cherry Hill | $13.43 | $145 – $171 | $302 – $356 |
| Tacoma General Allenmore Hospital | $16.18 – $27.10 | $8.87 – $14.85 | $22.17 – $37.12 |
| Yakima Valley Memorial | $12.40 – $48.75 | $20.22 – $22.76 | $50.55 – $56.88 |
Medicare (traditional) reference
CMS publishes no national amount for this code.