Quantitative levetiracetam drug screen at Dukes Health System LLC

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 S Level (RL)

Peru, IN

See all hospitals reporting CPT 80177 →

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Pricing by billing methodology

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How this price compares nationally

Dukes Health System LLC’s median price of $97 is 353% above the median hospital's median price ($21), higher than 84% of the 2,610 hospitals reporting CPT 80177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80177 at Dukes Health System LLC

Negotiated rates from the hospital’s own file: 11 payers, 39 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 anthem in healthsync professional · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
2	Anthem anthem in hmo ppo trad professional · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
3	Anthem anthem in marketplace stld professional · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
4	Caresource caresource in medicaid facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
5	Anthem anthem in healthsync facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
6	Anthem anthem in hmo ppo trad facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
7	Anthem anthem in marketplace stld facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
8	Anthem anthem in medicaid facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
9	Caresource caresource hhw in medicaid facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
10	Caresource caresource in hip facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
11	Humana humana pathways in medicaid facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
12	UnitedHealthcare uhc hcc in medicaid facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
13	UnitedHealthcare uhc pathways in medicaid facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
14	Tricare node tricare facility · fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
15	Anthem node anthem in mcr select facility · fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
16	Humana node humana mcr adv facility · fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
17	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
18	Aetna node aetna mcr adv facility · fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
19	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
20	Anthem anthem in hip facility · fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
21	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
22	Optum node united optum va ccn facility · per diem · outpatient	$48	$48	—	—	—	$48 – $48
23	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
24	Anthem anthem in work comp facility · other · outpatient	$77	$77	—	—	—	$77 – $77
25	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$87	$87	—	—	—	$87 – $87

Page 1 of 2 · 39 rates

Last updated: Apr 1, 2026

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