Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LEVETIRACETAM LEVEL
Low
$0
Average
$1.3k
Median
$37
High
$2576.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2108 hospitals; the 90th percentile is 11.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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3,489 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $85 | $85 | $17 | 19% | 31–40 | $69 – $102 |
| 2 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $85 | $85 | $17 | 19% | 31–40 | $69 – $102 |
| 3 | TRINITY HOSPITAL HOLDING COMPANY St.Clairsville, OH fee schedule · outpatient | 1 | $13 | $13 | — | — | 24 | $13 – $13 |
| 4 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $13 | $13 | — | — | 19 | $13 – $13 |
| 5 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | 19 | $26 – $26 |
| 6 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $4 | 5% | 19 | $71 – $79 |
| 7 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | 17 | $49 – $49 |
| 8 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $63 | $74 | $42 | 56% | 16–43 | $21 – $154 |
| 9 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · bothfrom % of charges | 1 | $271 | $271 | — | — | 14 | $271 – $271 |
| 10 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | 14 | $83 – $83 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $496 | $496 | — | — | 12 | $496 – $496 |
| 12 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $60 | $120 | $128 | 107% | 11 | $25 – $581 |
| 13 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $42 | $42 | $1 | 4% | 5–50 | $40 – $43 |
| 14 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $30 | $39 | $21 | 52% | 4–40 | $22 – $79 |
| 15 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $29 | $37 | $19 | 52% | 4–40 | $21 – $75 |
| 16 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $37 | $36 | $7 | 20% | 4–40 | $27 – $45 |
| 17 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 5 | $139 | $133 | $34 | 25% | 4–40 | $80 – $184 |
| 18 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $96 | $26 | 27% | 3–30 | $64 – $127 |
| 19 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 4 | $8 | $8 | — | — | 3–30 | $8 – $8 |
| 20 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 2 | $82 | $98 | $79 | 82% | 3–30 | $25 – $264 |
| 21 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $67 | $74 | $42 | 57% | 3–30 | $28 – $145 |
| 22 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $30 | $32 | $3 | 9% | 3–30 | $29 – $35 |
| 23 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $30 | $32 | $3 | 9% | 3–30 | $29 – $35 |
| 24 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · bothfrom % of charges | 1 | $253 | $253 | — | — | 2–20 | $253 – $253 |
| 25 | Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $39 | $39 | $19 | 48% | 2–20 | $20 – $59 |
← Payers reporting CPT 80177 · Snapshot 20261111T120946Z-9134e7f7