NDC 904706094
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/5 mL) 100 mg/mL Oral Sol [CITY]
Low
$2
Average
$4
Median
$3
High
$17
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 10 hospitals; the 90th percentile is 2.8× 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 | Tri-City Medical Center Oceanside, CA | $13 | $17 | $7 | 45% | 460–478 | $5 – $29 |
| 2 | Sanford Medical Center Bismarck Bismarck, ND | $5 | $5 | $1 | 27% | — | $2 – $7 |
| 3 | University Medical Center, Inc. Louisville, KY | $3 | $3 | $1 | 47% | — | $1 – $4 |
| 4 | UofL Health-Louisville Inc. Louisville, KY | $2 | $3 | $1 | 49% | — | $1 – $4 |
| 5 | UofL Health-Louisville Inc. Shepherdville, KY | $3 | $3 | $1 | 47% | — | $1 – $4 |
| 6 | UofL Health-Louisville Inc. Louisville, KY | $3 | $3 | $1 | 41% | — | $1 – $4 |
| 7 | UofL Health -Shelbyville, Inc. Shelbyville, KY | $3 | $3 | $1 | 49% | — | $1 – $4 |
| 8 | UofL Health-Louisville Inc. Louisville, KY | $2 | $2 | $1 | 57% | — | $1 – $4 |
| 9 | UofL Health-Louisville Inc. Louisville, KY | $2 | $2 | $1 | 58% | — | $1 – $4 |
| 10 | UofL Health-Louisville Inc. Louisville, KY | $2 | $2 | $1 | 58% | — | $1 – $4 |
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