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 IN NACL 500 MG/100ML IV SOLN
Low
$0
Average
$1.5k
Median
$15
High
$2450.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1737 hospitals; the 90th percentile is 1347.9× 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.
Filter by billing methodology
Filter by billing class
2,653 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $112 | $117 | $40 | 34% | 1,000,000 | $66 – $208 |
| 2 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 2 | $1.9k | $1.9k | — | — | 740 | $1.9k – $1.9k |
| 3 | St. Peter's Health Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 600 | $0 – $0 |
| 4 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 1 | $4 | $5 | $2 | 35% | 570 | $4 – $7 |
| 5 | Memorial Hospital Shiloh, IL fee schedule · both | 1 | $4 | $5 | $2 | 35% | 570 | $4 – $7 |
| 6 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 550 | $20 – $20 |
| 7 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | 500 | $57 – $57 |
| 8 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $33 | $57 | $49 | 88% | 470 | $6 – $164 |
| 9 | Calhoun Liberty Hospital Association Inc Blountstown, FL other · both | 2 | $4 | $4 | $3 | 96% | 450 | $0 – $7 |
| 10 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $52 | $29 | 56% | 400 | $18 – $107 |
| 11 | Higgins General Hospital Bremen, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | 350 | $75 – $75 |
| 12 | Cape Fear Valley - Hoke Hospital Raeford, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 301 | $41 – $41 |
| 13 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | 301 | $59 – $59 |
| 14 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $14 | $14 | — | — | 202 | $14 – $14 |
| 15 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 7 | $5 | $20 | $34 | 173% | 201–210 | $2 – $146 |
| 16 | Peace Harbor Medical Center Florence, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 150 | $105 – $105 |
| 17 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 2 | $6 | $45 | $47 | 103% | 146 | $3 – $113 |
| 18 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $8 | $8 | $0 | 5% | 140 | $7 – $8 |
| 19 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $21 | $23 | $17 | 73% | 115 | $6 – $43 |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $37 | $79 | 217% | 106 | $0 – $548 |
| 21 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $0 | $1 | $0 | 15% | 105–1,050 | $0 – $1 |
| 22 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 1 | $80 | $66 | $21 | 31% | 100 | $37 – $81 |
| 23 | Springhill Memorial Hospital Mobile, AL other · outpatient | 2 | $13 | $13 | $5 | 37% | 69 | $8 – $18 |
| 24 | St Louis Childrens Hospital Saint Louis, MO fee schedule · both | 1 | $9 | $9 | — | — | 64 | $9 – $9 |
| 25 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | $41 | 70% | 57 | $17 – $100 |
← Payers reporting HCPCS J1953 · Snapshot 20261112T124536Z-e251e855