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 500Mg/100Ml Bag
Parkston, SD
See all hospitals reporting HCPCS J1953 →Price type
Avera St. Benedicts’s median price of $58 is 753% above the median hospital's median price ($7), higher than 85% of the 2,270 hospitals reporting HCPCS J1953. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 11 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 | Medica com fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Medica ind fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Medica ind percent of total billed charges · inpatientfrom % of charges | $125 | $125 | $86 | 69% | — | $39 – $212 |
| 4 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $133 | $133 | $92 | 69% | — | $41 – $225 |
| 5 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $133 | $133 | $92 | 69% | 2–20 | $41 – $225 |
| 6 | Wellmark hmo outpatient | $137 | $137 | — | — | 2–20 | $137 – $137 |
| 7 | Medica com percent of total billed charges · inpatientfrom % of charges | $149 | $149 | $103 | 69% | — | $46 – $251 |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $164 | $164 | $113 | 69% | — | $51 – $278 |
| 9 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $164 | $164 | $113 | 69% | — | $51 – $278 |
| 10 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $183 | $183 | $126 | 69% | — | $57 – $309 |
| 11 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $183 | $183 | $126 | 69% | — | $57 – $309 |
Last updated: Apr 1, 2026
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