Quantitative levetiracetam drug screen at Astera Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Levetiracetam, S (Mayo)

Wadena, MN

See all hospitals reporting CPT 80177 →

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Pricing by billing methodology

Price type

How this price compares nationally

Astera Health’s median price of $89 is 319% above the median hospital's median price ($21), higher than 83% of the 2,610 hospitals reporting CPT 80177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80177 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 34 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
2	Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges	$47	$47	—	—	—	$47 – $47
3	Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges	$47	$47	—	—	—	$47 – $47
4	Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges	$47	$47	—	—	—	$47 – $47
5	Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges	$47	$47	—	—	—	$47 – $47
6	Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges	$49	$49	—	—	—	$49 – $49
7	Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges	$49	$49	—	—	—	$49 – $49
8	Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges	$65	$65	—	—	—	$65 – $65
9	Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges	$68	$68	—	—	—	$68 – $68
10	Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
11	UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
12	Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
13	Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
14	Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
15	Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
16	Blue Cross Blue Shield bcbs high value network percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
17	Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
18	Blue Cross Blue Shield blue plus [400058] percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
19	UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
20	Medica medica [100341] percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
21	MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges	$94	$94	—	—	—	$94 – $94
22	MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	—	$94 – $94
23	Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
24	Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
25	Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges	$106	$106	—	—	—	$106 – $106

Page 1 of 2 · 34 rates

Last updated: Feb 20, 2026

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