NDC 904712461
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 PO TABS
Reported by 3 hospitals in the network under the fee schedule methodology.
Low
$1
Average
$2
Median
$2
High
$4
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1 | $1 | — | — | — | $0 – $1 |
| 2 | Allina Health Systems Ulm, MN | $2 | $2 | $0 | 5% | — | $1 – $4 |
| 3 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $4 | $4 | — | — | — | $1 – $4 |
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