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
Brivaracetam, Serum/Plasma (Bill Only) (Mayo)
Wadena, MN
See all hospitals reporting CPT 80375 →Price type
Astera Health’s median price of $182 is 150% above the median hospital's median price ($73), higher than 80% of the 1,664 hospitals reporting CPT 80375. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $102 | $102 | $27 | 26% | — | $75 – $129 |
| 2 | Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $30 | 26% | — | $82 – $142 |
| 3 | Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $30 | 26% | — | $82 – $142 |
| 4 | Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $30 | 26% | — | $82 – $142 |
| 5 | Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $30 | 26% | — | $82 – $142 |
| 6 | Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges | $118 | $118 | $31 | 26% | — | $87 – $149 |
| 7 | Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges | $118 | $118 | $31 | 26% | — | $87 – $149 |
| 8 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges | $156 | $156 | $41 | 26% | — | $115 – $197 |
| 9 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges | $162 | $162 | $43 | 26% | — | $119 – $204 |
| 10 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $194 | $194 | $51 | 26% | — | $143 – $246 |
| 11 | UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges | $208 | $208 | $55 | 26% | — | $153 – $263 |
| 12 | Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges | $208 | $208 | $55 | 26% | — | $153 – $263 |
| 13 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges | $213 | $213 | $56 | 26% | — | $157 – $269 |
| 14 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · outpatientfrom % of charges | $213 | $213 | $56 | 26% | — | $157 – $269 |
| 15 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges | $213 | $213 | $56 | 26% | — | $157 – $269 |
| 16 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · outpatientfrom % of charges | $213 | $213 | $56 | 26% | — | $157 – $269 |
| 17 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges | $213 | $213 | $56 | 26% | — | $157 – $269 |
| 18 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · outpatientfrom % of charges | $213 | $213 | $56 | 26% | — | $157 – $269 |
| 19 | UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges | $217 | $217 | $57 | 26% | — | $159 – $274 |
| 20 | Medica medica [100341] percent of total billed charges · outpatientfrom % of charges | $218 | $218 | $58 | 26% | — | $161 – $276 |
| 21 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $224 | $224 | $59 | 26% | — | $165 – $283 |
| 22 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $224 | $224 | $59 | 26% | — | $165 – $283 |
| 23 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges | $238 | $238 | $63 | 26% | — | $175 – $301 |
| 24 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges | $238 | $238 | $63 | 26% | — | $175 – $301 |
| 25 | Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges | $252 | $252 | $67 | 26% | — | $186 – $319 |
Last updated: Feb 20, 2026
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