What does code J0651 cost?

Across the published hospital price files, the disclosed cash price for J0651 ranges from $17.80 to $913. 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.

J0651 is the billing code hospitals use to identify "Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-07) / 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.

J0651

HCPCS

Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-07) / 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 J0651 (Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-07) / 5 Ml In 1 Vial, Single-Dose) appears at 33 hospitals with disclosed cash prices from $17.80 to $913. 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 J0651 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 J0651 vary by about 51× across the 32 hospitals with disclosed prices here — from $17.80 to $913. Shopping around can matter.

Hospitals

Prices shown

$17.80

Lowest cash

$913

Highest cash

code J0651 cash price52 disclosed · 32 hospitals

$17.80median ~$59.87$913

Lowest cash price by hospital

Aurora Lakeland Medical Center$17.80
Aurora Medical Center Grafton$18.73
Texas Health Presbyterian Hospital Allen$47.90
Texas Health Harris Methodist Hospital Alliance$47.90
Texas Health Arlington Memorial Hospital$47.90
Texas Health Harris Methodist Hospital Azle$47.90

Cash price by city

Reflects your current filters.

Cash price by city$17.80 – $59.87

Elkhorn · 1 hospital$17.80
Grafton · 1 hospital$18.73
Allen · 1 hospital$47.90–$59.87
Fort Worth · 4 hospitals$47.90–$59.87
Arlington · 2 hospitals$47.90–$59.87
Azle · 1 hospital$47.90–$59.87

54 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-07) / 5 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	J0651 HCPCS	—	—	—	—
Inj, levothyroxine, freskabi Outpatient	University of Chicago Medical Center	J0651 HCPCS	—	—	—	—
levothyroxine 100 MCG/5ML Solution 5 mL Vial Outpatient	Froedtert Menomonee Falls Hospital	J0651 HCPCS	$591	$325	$3.65 – $532	—
LEVOTHYROXINE SODIUM 100 MCG IV SOLR Inpatient	Aurora Medical Center Grafton	J0651 HCPCS	$37.45	$18.73	$22.47 – $31.83	—
LEVOTHYROXINE SODIUM 100 MCG IV SOLR Inpatient	Aurora Lakeland Medical Center	J0651 HCPCS	$35.60	$17.80	$21.36 – $30.26	—
levothyroxine 100 MCG/5ML Solution 5 mL Vial Inpatient	Froedtert Holy Family Memorial Hospital	J0651 HCPCS	$591	$325	$296 – $521	—
levothyroxine 100 MCG/5ML Solution 5 mL Vial Inpatient	Froedtert Community Hospital - Mequon	J0651 HCPCS	$591	$325	$355 – $521	—
levothyroxine 100 MCG/5ML Solution 5 mL Vial Outpatient	Froedtert Community Hospital - New Berlin	J0651 HCPCS	$591	$325	$6.83 – $521	—
levothyroxine 100 MCG/5ML Solution 5 mL Vial Inpatient	Froedtert Community Hospital - Oak Creek	J0651 HCPCS	$591	$325	$355 – $521	—
LEVOTHYROXINE 20 MCG/ML IV SOLN Inpatient & outpatient	Stanford Health Care Tri-Valley	J0651 HCPCS	$1,076	$430	—	—
LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLN [143970] Outpatient	Texas Health Presbyterian Hospital Allen	J0651 HCPCS	$79.82	$47.90	$6.83 – $83.25	—
LEVOTHYROXINE 40 MCG/ML INTRAVENOUS SOLN [143971] Outpatient	Texas Health Presbyterian Hospital Allen	J0651 HCPCS	$99.78	$59.87	$6.83 – $93.89	—
LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLN [143970] Outpatient	Texas Health Harris Methodist Hospital Alliance	J0651 HCPCS	$79.82	$47.90	$6.83 – $83.25	—
LEVOTHYROXINE 40 MCG/ML INTRAVENOUS SOLN [143971] Outpatient	Texas Health Harris Methodist Hospital Alliance	J0651 HCPCS	$99.78	$59.87	$6.83 – $93.89	—
LEVOTHYROXINE SODIUM FOR IV INJ 100 MCG Inpatient & outpatient	Providence Seward Hospital	J0651 HCPCS	$636	$496	—	—
LEVOTHYROXINE SODIUM FOR IV INJ 100 MCG Inpatient & outpatient	St Elias Specialty Hospital	J0651 HCPCS	$636	$496	—	—
LEVOTHYROXINE SODIUM IV SOLN 100 MCG/5ML (20 MCG/ML) Inpatient & outpatient	Healdsburg Hospital	J0651 HCPCS	$491	$250	—	—
LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLN [143970] Inpatient	Texas Health Arlington Memorial Hospital	J0651 HCPCS	$79.82	$47.90	$27.60 – $75.11	—
LEVOTHYROXINE 40 MCG/ML INTRAVENOUS SOLN [143971] Inpatient	Texas Health Arlington Memorial Hospital	J0651 HCPCS	$99.78	$59.87	$34.50 – $93.89	—
LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLN [143970] Outpatient	Texas Health Harris Methodist Hospital Azle	J0651 HCPCS	$79.82	$47.90	$6.83 – $83.25	—
LEVOTHYROXINE 40 MCG/ML INTRAVENOUS SOLN [143971] Outpatient	Texas Health Harris Methodist Hospital Azle	J0651 HCPCS	$99.78	$59.87	$6.83 – $93.89	—
LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLN [143970] Inpatient	Texas Health Harris Methodist Hospital Cleburne	J0651 HCPCS	$79.82	$47.90	$27.60 – $76.63	—
LEVOTHYROXINE 40 MCG/ML INTRAVENOUS SOLN [143971] Inpatient	Texas Health Harris Methodist Hospital Cleburne	J0651 HCPCS	$99.78	$59.87	$34.50 – $95.79	—
LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLN [143970] Outpatient	Texas Health Presbyterian Hospital Dallas	J0651 HCPCS	$79.82	$47.90	$6.83 – $83.25	—
LEVOTHYROXINE 40 MCG/ML INTRAVENOUS SOLN [143971] Outpatient	Texas Health Presbyterian Hospital Dallas	J0651 HCPCS	$99.78	$59.87	$6.83 – $93.89	—

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 J0651 prices

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

Code J0651: frequently asked

What does code J0651 cost?: Across the published hospital price files, the disclosed cash price for J0651 ranges from $17.80 to $913. 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 J0651?: J0651 is the billing code hospitals use to identify "Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-07) / 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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