Levocarnitine injection, per gram at Benefis Hospitals Inc

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.

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Generated: October 20, 2026

Original text from hospital filings

LEVOCARNITINE 200 MG/ML IV SOLN

Falls, MT

See all hospitals reporting HCPCS J1955 →

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Pricing by billing methodology

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How this price compares nationally

Benefis Hospitals Inc’s median price of $162 is 201% above the median hospital's median price ($54), higher than 87% of the 1,685 hospitals reporting HCPCS J1955. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1955 at Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 11 payers, 26 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	Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
2	Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
3	Aetna bhs hb medicare fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
4	Anthem bhs hb medicare fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
5	Blue Cross Blue Shield bhs hb medicare fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
6	Kaiser bhs hb medicare fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
7	Medicare bhs hb medicare fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
8	WellCare bhs hb medicare fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
9	Cigna bhs hb allegiance fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
10	Healthpartners bhs hb allegiance fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
11	Kaiser bhs hb allegiance fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
12	Medical Mutual bhs hb allegiance fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
13	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
14	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
15	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
16	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
17	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$162	$162	—	—	—	$162 – $162
18	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges	$162	$162	—	—	—	$162 – $162
19	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges	$164	$164	—	—	—	$164 – $164
20	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
21	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
22	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
23	Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
24	Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges	$175	$175	—	—	—	$175 – $175
25	First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges	$175	$175	—	—	—	$175 – $175

Page 1 of 2 · 26 rates

Last updated: Mar 26, 2026

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