HCPCS J0651
Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg
Current codeInjection - Growth/Hormone Factor38 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $62.50 – $92.59 | $13.56 – $16.56 | $33.89 – $41.39 |
| Deaconess Medical Center | $57.18 – $60.55 | $16.09 – $23.26 | $40.22 – $58.13 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $33.30 – $266 | $109 – $872 |
| Island Hospital | $59.00 – $64.01 | — | — |
| Kadlec Regional Medical Center | — | $305 | $435 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $59.15 – $63.88 | $20.02 – $48.29 | $50.03 – $121 |
| MultiCare Auburn Medical Center | $58.08 – $62.72 | $12.03 – $28.20 | $30.07 – $70.50 |
| MultiCare Covington Medical Center | $58.08 – $62.72 | $12.06 – $18.76 | $30.14 – $46.88 |
| MultiCare Good Samaritan Hospital | $59.42 – $64.17 | $11.70 – $20.54 | $29.25 – $51.34 |
| MultiCare Valley Hospital | $56.78 – $60.12 | $18.50 – $27.44 | $46.25 – $68.60 |
| Olympic Medical Center | $73.10 – $80.06 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $10.47 – $231 | $20.94 – $462 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $697 | $996 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $697 | $996 |
| Providence Mount Carmel Hospital | — | $697 – $728 | $996 – $1,040 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $697 – $728 | $996 – $1,040 |
| Providence St Mary Medical Center | — | $574 | $820 |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | — | $627 | $627 |
| St Anthony Hospital | — | $33.17 – $265 | $109 – $872 |
| St Clare Hospital | — | $31.44 – $251 | $109 – $872 |
| St Elizabeth Hospital | $18.54 – $181 | $38.54 – $308 | $109 – $872 |
| St Francis Community Hospital | — | $34.23 – $274 | $109 – $872 |
| St Joseph Medical Center | — | $36.12 – $289 | $109 – $872 |
| St Michael Medical Center | — | $48.13 – $385 | $109 – $872 |
| Swedish Edmonds Hospital | — | $214 | $446 |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | $214 | $446 |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $59.44 – $64.20 | $11.00 – $16.56 | $27.49 – $41.39 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $56.80 – $65.99 | $13.50 | $33.75 |
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