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
$1
Average
$35
Median
$15
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
844 hospitals; the 90th percentile is 6.3× 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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1,082 hospital rates
iThe hospitals that file a Molina 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 | Parkland Health Dallas, TX facility · other · both | 4 | $29 | $29 | $17 | 58% | 206 | $12 – $47 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $19 | $19 | $7 | 36% | 158 | $12 – $26 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $28 | $28 | — | — | 47 | $28 – $28 |
| 4 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | $12 | 76% | 2–20 | $4 – $28 |
| 5 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $79 | $79 | $9 | 11% | 2–20 | $71 – $88 |
| 6 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $33 | $33 | $1 | 2% | 2–20 | $32 – $33 |
| 7 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $18 | $18 | $1 | 8% | 2–20 | $17 – $19 |
| 8 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | 2–20 | $17 – $17 |
| 9 | Weirton Medical Center Inc Weirton, WV facility · other · outpatient | 2 | $9 | $9 | $4 | 40% | 2–20 | $6 – $13 |
| 10 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 2 | $12 | $12 | $2 | 14% | 2–20 | $10 – $13 |
| 11 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 12 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 13 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | 1–10 | $66 – $66 |
| 14 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | 1–10 | $53 – $53 |
| 15 | Appalachian Regional Healthcare, Inc. Middlesboro, KY fee schedule · outpatient | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 16 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 17 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | 1–10 | $69 – $69 |
| 18 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 2 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 19 | Hemet Global Medical Center Hemet, CA facility · other · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 20 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 2 | $13 | $13 | $1 | 11% | 1–10 | $12 – $15 |
| 21 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 22 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 2 | $91 | $91 | $42 | 46% | 1–10 | $49 – $133 |
| 23 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 24 | Navarro Hospital LP Corsicana, TX facility · other · outpatient | 4 | $34 | $35 | $18 | 53% | 1–10 | $14 – $56 |
| 25 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 2 | $15 | $15 | $3 | 18% | 1–10 | $12 – $17 |
← Payers reporting CPT 80177 · Snapshot 20261111T120946Z-9134e7f7