What does code J0650 cost?

Across the published hospital price files, the disclosed cash price for J0650 ranges from $17.75 to $3,032. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

J0650 is the billing code hospitals use to identify "Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (42023-201-01) / 5 Ml In 1 Vial, Single-Dose" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

J0650

HCPCS

Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (42023-201-01) / 5 Ml In 1 Vial, Single-Dose

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code J0650 (Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (42023-201-01) / 5 Ml In 1 Vial, Single-Dose) appears at 33 hospitals with disclosed cash prices from $17.75 to $3,032. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J0650 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code J0650 vary by about 171× across the 32 hospitals with disclosed prices here — from $17.75 to $3,032. Shopping around can matter.

Hospitals

Prices shown

$17.75

Lowest cash

$3,032

Highest cash

code J0650 cash price75 disclosed · 32 hospitals

$17.75median ~$57.02$3,032

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$17.75 – $275

Elkhorn · 1 hospital$17.75
Downers Grove · 1 hospital$20.16
Kenosha · 1 hospital$21.81
Libertyville · 1 hospital$23.11
Columbus · 1 hospital$23.63–$275
Dublin · 1 hospital$23.63

78 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (42023-201-01) / 5 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	J0650 HCPCS	—	—	—	—
Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (70710-1833-1) / 5 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	J0650 HCPCS	—	—	—	—
Inj, levothyroxine nos 10mcg Outpatient	University of Chicago Medical Center	J0650 HCPCS	—	—	—	—
LEVOTHYROXINE SODIUM 100 MCG IV SOLR Outpatient	Advocate Condell Medical Center	J0650 HCPCS	$46.21	$23.11	$18.21 – $38.82	—
LEVOTHYROXINE SODIUM 100 MCG IV SOLR Outpatient	Advocate Good Samaritan Hospital	J0650 HCPCS	$40.31	$20.16	$15.88 – $41.61	—
LEVOTHYROXINE SODIUM 100 MCG IV SOLR Inpatient	Aurora Medical Center Burlington	J0650 HCPCS	$47.48	$23.74	$28.49 – $40.36	—
LEVOTHYROXINE SODIUM 100 MCG IV SOLR Inpatient	Aurora Medical Center Kenosha	J0650 HCPCS	$43.62	$21.81	$26.17 – $37.08	—
LEVOTHYROXINE SODIUM 100 MCG IV SOLR Inpatient	Aurora Lakeland Medical Center	J0650 HCPCS	$35.49	$17.75	$21.29 – $30.17	—
LEVOTHYROXINE 500 MCG IV SOLR Inpatient & outpatient	Stanford Health Care Tri-Valley	J0650 HCPCS	$7,581	$3,032	—	—
LEVOTHYROXINE 200 MCG INTRAVENOUS SOLR [10714] Outpatient	Texas Health Presbyterian Hospital Allen	J0650 HCPCS	$95.02	$57.02	$10.95 – $99.08	—
LEVOTHYROXINE 500 MCG INTRAVENOUS SOLR [11108] Outpatient	Texas Health Presbyterian Hospital Allen	J0650 HCPCS	$1,045	$627	$13.89 – $984	—
LEVOTHYROXINE 100 MCG INTRAVENOUS SOLR [113876] Outpatient	Texas Health Presbyterian Hospital Allen	J0650 HCPCS	$95.02	$57.02	$10.95 – $99.08	—
LEVOTHYROXINE 200 MCG INTRAVENOUS SOLR [10714] Outpatient	Texas Health Harris Methodist Hospital Alliance	J0650 HCPCS	$95.02	$57.02	$9.76 – $99.08	—
LEVOTHYROXINE 500 MCG INTRAVENOUS SOLR [11108] Outpatient	Texas Health Harris Methodist Hospital Alliance	J0650 HCPCS	$1,045	$627	$13.89 – $984	—
LEVOTHYROXINE 100 MCG INTRAVENOUS SOLR [113876] Outpatient	Texas Health Harris Methodist Hospital Alliance	J0650 HCPCS	$95.02	$57.02	$9.76 – $99.08	—
LEVOTHYROXINE SODIUM FOR IV INJ 100 MCG Inpatient & outpatient	Providence Seward Hospital	J0650 HCPCS	$507	$395	—	—
LEVOTHYROXINE SODIUM FOR IV INJ 100 MCG Inpatient & outpatient	St Elias Specialty Hospital	J0650 HCPCS	$507	$395	—	—
LEVOTHYROXINE SODIUM FOR IV INJ 200 MCG Inpatient & outpatient	St Elias Specialty Hospital	J0650 HCPCS	$1,084	$846	—	—
LEVOTHYROXINE 500 MCG INTRAVENOUS SOLR [11108] Inpatient	Texas Health Arlington Memorial Hospital	J0650 HCPCS	$1,045	$627	$361 – $984	—
LEVOTHYROXINE 100 MCG INTRAVENOUS SOLR [113876] Inpatient	Texas Health Arlington Memorial Hospital	J0650 HCPCS	$95.02	$57.02	$32.86 – $89.41	—
LEVOTHYROXINE 200 MCG INTRAVENOUS SOLR [10714] Inpatient	Texas Health Arlington Memorial Hospital	J0650 HCPCS	$95.02	$57.02	$32.86 – $89.41	—
LEVOTHYROXINE 200 MCG INTRAVENOUS SOLR [10714] Outpatient	Texas Health Harris Methodist Hospital Azle	J0650 HCPCS	$95.02	$57.02	$10.40 – $99.08	—
LEVOTHYROXINE 500 MCG INTRAVENOUS SOLR [11108] Outpatient	Texas Health Harris Methodist Hospital Azle	J0650 HCPCS	$1,045	$627	$21.79 – $984	—
LEVOTHYROXINE 100 MCG INTRAVENOUS SOLR [113876] Outpatient	Texas Health Harris Methodist Hospital Azle	J0650 HCPCS	$95.02	$57.02	$10.40 – $99.08	—
LEVOTHYROXINE 200 MCG INTRAVENOUS SOLR [10714] Inpatient	Texas Health Harris Methodist Hospital Cleburne	J0650 HCPCS	$95.02	$57.02	$32.86 – $91.22	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J0650 prices

Open a hospital to see this code in the context of its full published prices.

University of Chicago Medical Center Advocate Condell Medical Center Advocate Good Samaritan Hospital Aurora Medical Center Burlington Aurora Medical Center Kenosha Aurora Lakeland Medical Center Stanford Health Care Tri-Valley Texas Health Presbyterian Hospital Allen Texas Health Harris Methodist Hospital Alliance Providence Seward Hospital St Elias Specialty Hospital Texas Health Arlington Memorial Hospital Texas Health Harris Methodist Hospital Azle Texas Health Harris Methodist Hospital Cleburne Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Denton Texas Health Presbyterian Hospital Flower Mound Texas Health Harris Methodist Hospital Fort Worth Texas Health Hospital Frisco Texas Health Heart & Vascular Hospital Arlington Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Texas Health Presbyterian Hospital Kaufman Texas Health Presbyterian Hospital Plano Texas Health Hospital Rockwall Texas Health Harris Methodist Hospital Southlake Texas Health Harris Methodist Hospital Southwest Fort Worth Texas Health Specialty Hospital Fort Worth Texas Health Springwood Hospital Hurst-Euless-Bedford Texas Health Harris Methodist Hospital Stephenville Atrium Health Anson Berger Hospital Doctors Hospital Dublin Methodist Hospital

Code J0650: frequently asked

What does code J0650 cost?: Across the published hospital price files, the disclosed cash price for J0650 ranges from $17.75 to $3,032. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J0650?: J0650 is the billing code hospitals use to identify "Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (42023-201-01) / 5 Ml In 1 Vial, Single-Dose" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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