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HCPCS J0651

Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg

Current codeInjection - Growth/Hormone Factor38 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)
Capital Medical CenterOlympiaFile dated 2026-08-27$27.11 – $35.182 plans$13.56 – $16.56$33.89 – $41.39
Deaconess Medical CenterSpokaneFile dated 2026-08-27$28.55 – $42.432 plans$16.09 – $23.26$40.22 – $58.13
Highline Medical CenterBurienFile dated 2026-02-28$46.90 – $7856 plans$33.30 – $266$109 – $872
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$305$435
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$32.72 – $96.576 plans$20.02 – $48.29$50.03 – $121
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$17.74 – $51.473 plans$12.03 – $28.20$30.07 – $70.50
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$17.78 – $34.223 plans$12.06 – $18.76$30.14 – $46.88
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$17.26 – $37.483 plans$11.70 – $20.54$29.25 – $51.34
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$33.30 – $49.392 plans$18.50 – $27.44$46.25 – $68.60
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$10.47 – $231$20.94 – $462
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$697$996
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$697$996
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$697 – $728$996 – $1,040
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$697 – $728$996 – $1,040
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$574$820
Seattle Children's HospitalSeattle$338 – $60198 plans$627$627
St Anthony HospitalGig HarborFile dated 2026-02-28$59.98 – $6544 plans$33.17 – $265$109 – $872
St Clare HospitalLakewoodFile dated 2026-02-28$59.98 – $6544 plans$31.44 – $251$109 – $872
St Elizabeth HospitalEnumclawFile dated 2026-02-28$39.26 – $7859 plans$38.54 – $308$109 – $872
St Francis Community HospitalFederal WayFile dated 2026-02-28$59.98 – $6544 plans$34.23 – $274$109 – $872
St Joseph Medical CenterTacomaFile dated 2026-02-28$59.98 – $6544 plans$36.12 – $289$109 – $872
St Michael Medical CenterSilverdaleFile dated 2026-02-28$68.71 – $78510 plans$48.13 – $385$109 – $872
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$214$446
Swedish Medical CenterSeattleFile dated 2026-04-01—$214$446
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$16.22 – $30.213 plans$11.00 – $16.56$27.49 – $41.39
Yakima Valley MemorialYakimaFile dated 2026-08-27$18.901 plan$13.50$33.75

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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$7.08 (APC 0734)
Surgery center payment (national)
$7.08