Levothyroxine 100 mcg intravenous powder for solution cost in Pennsylvania
LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION · HCPCS J0650
$19.80
lowest in Pennsylvania
$22.80
state median
$750.80
highest in Pennsylvania
$420.60
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC East | Monroeville | $19.80 | $2.99 – $20.00 | 13 |
| UPMC Horizon-Greenville | Greenville | $19.80 | $4.34 – $10.80 | 6 |
| UPMC Bedford | Everett | $19.80 | $4.34 – $25.20 | 17 |
| UPMC Passavant-McCandless | Pittsburgh | $19.80 | $4.34 – $11.75 | 5 |
| UPMC St. Margaret | Pittsburgh | $19.80 | $4.34 – $12.32 | 4 |
| UPMC Northwest | Seneca | $19.80 | $4.34 – $11.00 | 5 |
| UPMC Magee | Pittsburgh | $21.00 | $4.34 – $14.35 | 6 |
| UPMC Mercy | Pittsburgh | $21.00 | $4.24 – $6.87 | 5 |
| UPMC Altoona | Altoona | $22.80 | $4.24 – $22.40 | 12 |
| UPMC Presbyterian | Pittsburgh | $24.00 | $4.28 – $6.87 | 6 |
| UPMC Williamsport | Williamsport | $24.60 | $6.87 – $7.56 | 5 |
| WellSpan Chambersburg Hospital | Chambersburg | $195.40 | $7.46 – $254.10 | 10 |
| WellSpan Waynesboro Hospital | Waynesboro | $311.20 | $52.22 – $254.10 | 4 |
| WellSpan Ephrata Community Hospital | Ephrata | $584.20 | $68.72 – $254.10 | 10 |
| WellSpan Gettysburg Hospital | Gettysburg | $621.00 | $68.72 – $254.10 | 9 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $621.00 | $68.72 – $254.10 | 9 |
| WellSpan Good Samaritan Hospital | Lebanon | $750.80 | $7.46 – $254.10 | 10 |