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.

Prices for HCPCS J0651 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$2.39 – $35.1815 plans$13.56 – $16.56$33.89 – $41.39
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3.99 – $42.4315 plans$16.09 – $23.26$40.22 – $58.13
Harborview Medical CenterSeattleFile dated 2026-04-01$7.24 – $14.833 plans——
Highline Medical CenterBurienFile dated 2026-02-28$46.90 – $7855 plans$33.30 – $266$109 – $872
Island HospitalAnacortes$6.94 – $14.366 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$11.46 – $19.557 plans$305$435
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$10.74 – $16.398 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$6.96 – $21019 plans$20.02 – $48.29$50.03 – $121
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3.19 – $51.4716 plans$12.03 – $28.20$30.07 – $70.50
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3.19 – $38.9816 plans$12.06 – $18.76$30.14 – $46.88
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3.19 – $38.9816 plans$11.70 – $20.54$29.25 – $51.34
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3.99 – $49.3915 plans$18.50 – $27.44$46.25 – $68.60
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3.44 – $18.3011 plans$10.47 – $231$20.94 – $462
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3.99 – $23.0911 plans$697$996
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2.66 – $41.0710 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$3.99 – $21.429 plans$697$996
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$697 – $728$996 – $1,040
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$8.35 – $16.149 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$697 – $728$996 – $1,040
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2.66 – $20.477 plans$574$820
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2.66 – $22.7211 plans——
Seattle Children's HospitalSeattle$338 – $60198 plans$627$627
St Anthony HospitalGig HarborFile dated 2026-02-28$54.53 – $6543 plans$33.17 – $265$109 – $872
St Clare HospitalLakewoodFile dated 2026-02-28$54.53 – $6543 plans$31.44 – $251$109 – $872
St Elizabeth HospitalEnumclawFile dated 2026-02-28$36.32 – $7856 plans$38.54 – $308$109 – $872
St Francis Community HospitalFederal WayFile dated 2026-02-28$54.53 – $6543 plans$34.23 – $274$109 – $872
St Joseph Medical CenterTacomaFile dated 2026-02-28$54.53 – $6543 plans$36.12 – $289$109 – $872
St Michael Medical CenterSilverdaleFile dated 2026-02-28$69.80 – $78510 plans$48.13 – $385$109 – $872
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$3.19 – $17.6810 plans$214$446
Swedish IssaquahIssaquahFile dated 2026-04-01$2.66 – $15.459 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2.66 – $24.8616 plans$214$446
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2.66 – $24.8610 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3.19 – $38.9816 plans$11.00 – $16.56$27.49 – $41.39
University of Washington Medical CtrSeattleFile dated 2026-04-01$4.04 – $21.4211 plans——
Virginia Mason Medical CenterSeattle$3.75 – $24.947 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$17.561 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$5.32 – $28.9217 plans$13.50$33.75

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

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