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NDC 00121-4799-05

LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLN

Reported by 20 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$2

Average

$19

Median

$19

High

$34

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$2$10$10$22$5
2Northwestern Lake Forest HospitalLake Forest, IL$3$8$9$18$5
3Palos Community HospitalPalos Heights, IL$2$8$8$13$4
4Northwestern Medicine Marianjoy Rehabilitation HospitalWheaton, IL$13$19$20$31$6
5Vanderbilt Wilson County HospitalLebanon, TN$1$2$2$4$1
6Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$1$2$2$4$1
7Vanderbilt University Medical CenterNashville, TN$1$2$2$4$1
8Vanderbilt Bedford HospitalShelbyville, TN$1$2$2$4$1
9Mary Hitchcock Memorial HospitalLebanon, NH$1$6$6$9$2
10Cheshire Medical CenterKeene, NH$1$7$6$10$2
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