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Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$62.50 – $92.595 plans——
Cascade Valley HospitalArlington$61.78 – $9134 plans$200 – $730$249 – $912
Deaconess Medical CenterSpokaneFile dated 2026-08-27$57.18 – $60.555 plans——
Highline Medical CenterBurienFile dated 2026-02-28—$33.30 – $99.89$109 – $327
Island HospitalAnacortes$59.00 – $64.013 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$191 – $243$273 – $347
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$59.15 – $63.885 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$58.08 – $62.725 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$58.08 – $62.725 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$59.42 – $64.175 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$56.78 – $60.125 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$73.10 – $80.065 plans$363$454
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
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 Regional Medical Center EverettEverettFile dated 2026-04-01———
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$57.20 – $3895 plans$200 – $730$249 – $912
St Anthony HospitalGig HarborFile dated 2026-02-28—$33.17 – $99.49$109 – $327
St Clare HospitalLakewoodFile dated 2026-02-28—$31.44 – $94.29$109 – $327
St Elizabeth HospitalEnumclawFile dated 2026-02-28$18.54 – $67.715 plans$38.54 – $116$109 – $327
St Francis Community HospitalFederal WayFile dated 2026-02-28—$34.23 – $103$109 – $327
St Joseph Medical CenterTacomaFile dated 2026-02-28—$36.12 – $108$109 – $327
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$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$59.44 – $64.205 plans$8.87 – $14.85$22.17 – $37.12
Yakima Valley MemorialYakimaFile dated 2026-08-27$56.80 – $65.995 plans$20.22 – $22.76$50.55 – $56.88

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.