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
Inj levocarnitine per 1 gm
Boulder, CO
See all hospitals reporting HCPCS J1955 →Price type
Boulder Community Health’s median price of $96 is 78% above the median hospital's median price ($54), higher than 72% of the 1,685 hospitals reporting HCPCS J1955. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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 | Anthem commercial professional · fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Anthem managed care professional · fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Cigna commercial professional · fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Humana medicare advantage professional · fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 6 | UnitedHealthcare commercial professional · fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Aetna medicare advantage professional · fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Cigna commercial facility · fee schedule · outpatient | $36 | $37 | $13 | 34% | — | $24 – $51 |
| 9 | Aetna commercial professional · fee schedule · both | $37 | $37 | $11 | 31% | — | $26 – $48 |
| 10 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $59 | $59 | $4 | 7% | — | $55 – $63 |
| 11 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 12 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 13 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 14 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $77 | $89 | $27 | 30% | — | $61 – $148 |
| 15 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 16 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 17 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $124 | $124 | $37 | 30% | — | $86 – $161 |
| 19 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 20 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $151 | $151 | $65 | 43% | — | $86 – $217 |
| 21 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 22 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 23 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 24 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 25 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
Last updated: Sep 16, 2026
See Levocarnitine injection, per gram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.