Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg cost in Indiana
$38
Cash from
$38
Cash range · 1 distinct price
$15
Insurer rates from
13
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Indiana University Health Bloomington Inc. | Bloomington | — | $15 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | — | $15 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | — | $15 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | — | $15 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | — | $15 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | — | $15 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | — | $15 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | — | $15 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | — | $15 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | — | $15 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | — | $15 | Mar 2026205 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | — | $15 | Mar 2026205 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER | Dyer | $38 | $21 | Jan 2026288 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterInj, levothyroxine, hikma
- Berger HospitalInj, levothyroxine, hikma
- Bethesda Hospital Inc.Inj, levothyroxine, hikma
- Clinton Memorial HospitalInj, levothyroxine, hikma
- Dayton Osteopathic HospitalInj, levothyroxine, hikma
- Doctors HospitalInj, levothyroxine, hikma
- Dublin Methodist HospitalInj, levothyroxine, hikma
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYERLEVOTHYROXINE 100 MCG/ML INTRAVENOUS SOLUTION|JW DISCARDED DRUG NOT ADMINISTERED
- Fairview HospitalInj, levothyroxine, hikma
- Fort Hamilton HospitalInj, levothyroxine, hikma
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.