4421 (OTHER) by state — Price Transparency

OTHER · across United States

4421 — Levothyroxine 50 Mcg Tablet

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$3 National median

$2 – $6,373 IQR (p25 – p75)

62 hospitals filing

17 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 4421 (OTHER), with interquartile range
State	Median	p25	p75
OK	$2	$1	$2
IN	$3	$2	$3
IL	$10	$5	$10
MI	$15	$7	$7,772
SC	$352	$1	$1,094
KY	$4,601	$4,601	$4,601
OH	$7,364	$7,293	$7,507
MS	$9,360	$9,360	$12,080
PA	$10,031	$4,045	$10,733
TX	$10,269	$6,830	$18,863
CA	$11,629	$11,499	$11,629
MN	$13,975	$9,971	$17,980
NY	$14,703	$3	$16,173
NJ	$16,486	$16,486	$16,486
MA	$19,560	$19,560	$19,560
SD	$20,178	$20,075	$20,357
ND	$26,664	$25,053	$28,276

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

OK	$2	$1	$2	<$1	$3	1 ⚠ thin data	12	18
IN	$3	$2	$3	<$1	$19,261	9	98	677
IL	$10	$5	$10	$2	$8,032	2 ⚠ thin data	51	116
MI	$15	$7	$7,772	$3	$112,334	6	23	59
SC	$352	<$1	$1,094	<$1	$1,655	1 ⚠ thin data	9	28
KY	$4,601	$4,601	$4,601	$4,601	$4,601	2 ⚠ thin data	1	4
OH	$7,364	$7,293	$7,507	$7,150	$7,507	1 ⚠ thin data	5	5
MS	$9,360	$9,360	$12,080	$9,360	$12,080	1 ⚠ thin data	4	5
PA	$10,031	$4,045	$10,733	$1,209	$13,585	5	21	75
TX	$10,269	$6,830	$18,863	$6,324	$28,966	16	13	101
CA	$11,629	$11,499	$11,629	$11,499	$11,629	3	14	20
MN	$13,975	$9,971	$17,980	$5,967	$21,984	1 ⚠ thin data	1	2
NY	$14,703	$3	$16,173	<$1	$52,362	7	26	104
NJ	$16,486	$16,486	$16,486	$16,486	$16,486	1 ⚠ thin data	1	4
MA	$19,560	$19,560	$19,560	$19,560	$19,560	1 ⚠ thin data	1	1
SD	$20,178	$20,075	$20,357	$15,294	$25,408	3	2	11
ND	$26,664	$25,053	$28,276	$23,441	$29,887	2 ⚠ thin data	1	2