NDC 72485-0106-01
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 500 MG/5ML Solution 5 mL Vial
Low
$0
Average
$5
Median
$4
High
$13
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 13 hospitals; the 90th percentile is 971.8× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Froedtert Community Hospital Pewaukee Pewaukee, WI | $10 | $10 | — | — | 1–10 | $0 – $58 |
| 2 | East Baton Rouge Medical Center, Llc Baton Rouge, LA | $4 | $4 | $2 | 54% | — | $0 – $25 |
| 3 | University Health Shreveport, Llc Shreveport, LA | $5 | $5 | $2 | 51% | — | $0 – $8 |
| 4 | Brfhh Monroe, Llc Monroe, LA | $5 | $4 | $2 | 57% | — | $0 – $8 |
| 5 | Rush Medical Foundation Meridian, MS | $9 | $10 | $2 | 21% | — | $0 – $13 |
| 6 | Rush Medical Foundation Quitman, MS | $9 | $9 | $1 | 13% | — | $0 – $13 |
| 7 | Rush Care, Inc. Meridian, MS | $13 | $13 | — | — | — | $13 – $13 |
| 8 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $7 | $6 | $4 | 66% | — | $0 – $9 |
| 9 | Southern Baptist Hospital of Florida, INC Jacksonville, FL | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Southern Baptist Hospital of Florida, INC Jacksonville, FL | $0 | $0 | — | — | — | $0 – $0 |
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