Levetiracetam injection at BSA Hospital

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 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK

Amarillo, TX

See all hospitals reporting HCPCS J1953 →

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Pricing by billing methodology

Price type

How this price compares nationally

BSA Hospital’s median price of $222 is 3108% above the median hospital's median price ($7), higher than 98% of the 2,309 hospitals reporting HCPCS J1953. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1953 at BSA Hospital

Negotiated rates from the hospital’s own file: 10 payers, 24 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 bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges	$37	$34	$17	49%	—	$7 – $53
2	Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges	$37	$34	$17	49%	—	$7 – $53
3	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$156	$141	$70	49%	—	$31 – $222
4	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$156	$141	$70	49%	—	$31 – $222
5	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$156	$141	$70	49%	—	$31 – $222
6	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$156	$141	$70	49%	—	$31 – $222
7	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$156	$141	$70	49%	—	$31 – $222
8	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$156	$141	$70	49%	—	$31 – $222
9	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$156	$141	$70	49%	—	$31 – $222
10	UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges	$171	$155	$76	49%	—	$34 – $244
11	Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges	$202	$215	$39	18%	—	$174 – $268
12	UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges	$245	$222	$109	49%	—	$49 – $349
13	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$245	$222	$109	49%	—	$49 – $349
14	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$260	$236	$116	49%	—	$52 – $371
15	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$280	$254	$125	49%	—	$56 – $399
16	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$280	$254	$125	49%	—	$56 – $399
17	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$280	$254	$125	49%	—	$56 – $399
18	Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges	$290	$263	$130	49%	—	$58 – $414
19	Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges	$290	$263	$130	49%	—	$58 – $414
20	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$291	$264	$130	49%	—	$58 – $414
21	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$300	$272	$134	49%	—	$60 – $428
22	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$300	$272	$134	49%	—	$60 – $428
23	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$340	$308	$152	49%	—	$68 – $485
24	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$340	$308	$152	49%	—	$68 – $485

Last updated: Feb 12, 2026

Compare to other hospitals

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