NDC 00904-7124-61
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
00904-7124-61 - levETIRAcetam 500 MG TABLET [MGH]
Based on 28,276–29,095 billing samples across every hospital reporting.
Low
$0
Average
$81
Median
$3
High
$10.4k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 459 hospitals; the 90th percentile is 177.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Public Hospital District No 1 of Mason County Shelton, WA | $8 | $52 | $61 | 117% | 7,671–7,788 | $1 – $216 |
| 2 | Monument Health Rapid City Hospital Inc City, SD | $9 | $8 | $3 | 35% | 4,169 | $3 – $11 |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC | $43 | $57 | $29 | 51% | 3,090–3,126 | $24 – $117 |
| 4 | The Charlotte Mecklenburg Hospital Authority Monroe, NC | $40 | $45 | $22 | 50% | 2,347–2,374 | $11 – $82 |
| 5 | The Charlotte Mecklenburg Hospital Authority Concord, NC | $43 | $44 | $23 | 52% | 2,206–2,260 | $1 – $82 |
| 6 | Atrium Health Hospitals Inc Shelby, NC | $45 | $45 | $23 | 50% | 2,087–2,114 | $2 – $82 |
| 7 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC | $43 | $44 | $23 | 52% | 1,931–1,958 | $1 – $83 |
| 8 | Lexington Medical Center Lexington, NC | $92 | $110 | $56 | 51% | 1,091–1,109 | $39 – $192 |
| 9 | The Charlotte Mecklenburg Hospital Authority Albermarle, NC | $51 | $50 | $25 | 49% | 981 | $10 – $82 |
| 10 | Columbus Regional Healthcare System, Inc Whiteville, NC | $2 | $2 | $1 | 47% | 784–802 | $1 – $3 |
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