HCPCS J0652
Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg
Current codeInjection - Growth/Hormone Factor26 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 | $5.21 – $30.61 | — | — |
| Deaconess Medical Center | $7.20 – $20.34 | — | — |
| Island Hospital | $7.69 | — | — |
| Kadlec Regional Medical Center | $9.51 – $19.53 | — | — |
| Legacy Salmon Creek Medical Center | $5.06 – $12.34 | — | — |
| Mary Bridge Children's Hospital | $9.12 – $210 | — | — |
| MultiCare Auburn Medical Center | $6.95 – $18.38 | — | — |
| MultiCare Covington Medical Center | $6.95 – $18.38 | — | — |
| MultiCare Good Samaritan Hospital | $7.20 – $18.38 | — | — |
| MultiCare Valley Hospital | $7.20 – $20.34 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $4.63 – $17.03 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $8.69 – $11.30 | — | — |
| Providence Centralia Hospital | $5.79 – $32.98 | — | — |
| Providence Holy Family Hospital | $8.69 – $11.30 | — | — |
| Providence Regional Medical Center Everett | $9.51 – $11.30 | — | — |
| Providence St Mary Medical Center | $5.79 – $11.30 | — | — |
| Providence St Peter Hospital | $5.79 – $11.75 | — | — |
| Swedish Edmonds Hospital | $6.95 – $10.27 | — | — |
| Swedish Issaquah | $5.79 – $11.58 | — | — |
| Swedish Medical Center | $5.79 – $11.58 | — | — |
| Swedish Medical Center / Cherry Hill | $5.79 – $11.58 | — | — |
| Tacoma General Allenmore Hospital | $6.95 – $18.38 | — | — |
| University of Washington Medical Ctr | $5.08 – $9.26 | — | — |
| Virginia Mason Medical Center | $5.14 – $18.23 | — | — |
| Yakima Valley Memorial | $7.34 – $14.48 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.