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
LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION
Low
$12
Average
$59
Median
$24
High
$508
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 4.7× 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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72 hospital rates
iThe hospitals that file a Tricare 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 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $377 | $377 | — | — | — | $377 – $377 |
| 6 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 7 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 8 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 9 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 11 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $508 | $508 | — | — | — | $508 – $508 |
| 12 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 13 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $93 | $93 | $2 | 2% | — | $92 – $95 |
| 14 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | $1 | 2% | — | $77 – $80 |
| 15 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 17 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 18 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $103 | $103 | $70 | 69% | — | $32 – $173 |
| 19 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $112 | $112 | $79 | 71% | — | $33 – $190 |
| 20 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $100 | $100 | $3 | 3% | — | $97 – $103 |
| 21 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $199 | $199 | $0 | 0% | — | $199 – $199 |
| 23 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 24 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 25 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $19 | $19 | $2 | 11% | — | $17 – $21 |
← Payers reporting HCPCS J1955 · Snapshot 20261111T120946Z-9134e7f7