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
$32
Median
$7
High
$763
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
112 hospitals; the 90th percentile is 1414.8× 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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206 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0 | $0 | — | — | 44 | $0 – $0 |
| 2 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $6 | $6 | — | — | 15 | $6 – $6 |
| 3 | Avera St. Mary's Hospital Pierre, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | 15 | $0 – $0 |
| 4 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $5 | $5 | $1 | 11% | 8–80 | $4 – $5 |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 6–60 | $0 – $0 |
| 6 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 3–30 | $0 – $0 |
| 7 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 3–30 | $0 – $0 |
| 8 | Avera Holy Family Hospital Estherville, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 9 | Avera St. Benedicts Parkston, SD outpatient | 1 | $137 | $137 | — | — | 2–20 | $137 – $137 |
| 10 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | $92 | 69% | 2–20 | $41 – $225 |
| 11 | Lakes Regional Hospital Spirit Lake, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 12 | Osceola Regional Health Center Sibley, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 13 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $5 | $5 | $0 | 4% | 2–20 | $5 – $5 |
| 14 | Regional Health Services of Howard County Cresco, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 15 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 3 | $216 | $151 | $107 | 71% | 2–20 | $0 – $237 |
| 16 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $216 | $151 | $107 | 71% | 2–20 | $0 – $237 |
| 17 | Avera Flandreau Hospital Flandreau, SD outpatient | 1 | $146 | $146 | — | — | 1–10 | $146 – $146 |
| 18 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 1–10 | $41 – $41 |
| 19 | Avera Milbank Hospital Milbank, SD outpatient | 1 | $95 | $95 | — | — | 1–10 | $95 – $95 |
| 20 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 21 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $5 | $5 | — | — | 1–10 | $5 – $5 |
| 22 | Avera Queen of Peace Mitchell, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 23 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 24 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 25 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $181 | $181 | — | — | 1–10 | $181 – $181 |
← Payers reporting HCPCS J1953 · Snapshot 20261111T120946Z-9134e7f7