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NDC 50474059440

50474-0594-40 - levetiracetam 250. mg Tab

Reported by 20 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 8–80 billing samples across every hospital reporting.

Low

$0

Average

$8

Median

$2

High

$38

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Key West HMA LLCKey West, FL$37$33$82–20$10$65
2The Charlotte Mecklenburg Hospital AuthorityConcord, NC$1$1—2–20$451$3.5k
3Atrium Health Hospitals IncShelby, NC$2$2—2–20$514$3.5k
4Carolinas Medical CenterCharlotte, NC$16$16—1–10$801$3.3k
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$1$1—1–10$367$3.6k
6Bluffton Health System LLCBluffton, IN$1$1——$1$4
7Dukes Health System LLCPeru, IN$2$2$0—$1$7
8St. Joseph Health System, LLCWayne, IN$3$3——$1$3
9Natchez Hospital Company LLCNatchez, MS$39$34$14—$2$46
10Northwest Sahurita Hospital LLCTucson, AZ$0$0$0—$0$2
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