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 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK
Rochester, MN
See all hospitals reporting HCPCS J1953 →Price type
Mayo Clinic’s median price of $81 is 1073% above the median hospital's median price ($7), higher than 90% of the 2,309 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: 18 payers, 62 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 medica prime solutions part b medicare advantage plan [150] facility · fee schedule · both | $2 | $3 | $2 | 66% | — | $1 – $7 |
| 2 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · both | $3 | $3 | $2 | 66% | — | $1 – $9 |
| 3 | Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $18 | $17 | $10 | 58% | — | $8 – $38 |
| 4 | Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges | $18 | $17 | $10 | 58% | — | $8 – $38 |
| 5 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $18 | $17 | $10 | 58% | — | $8 – $38 |
| 6 | Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $18 | $17 | $10 | 58% | — | $8 – $38 |
| 7 | Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $18 | $17 | $10 | 58% | — | $8 – $38 |
| 8 | Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges | $18 | $17 | $10 | 58% | — | $8 – $38 |
| 9 | UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $18 | $17 | $10 | 58% | — | $8 – $38 |
| 10 | Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges | $43 | $40 | $23 | 58% | — | $19 – $90 |
| 11 | Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges | $44 | $41 | $24 | 58% | — | $19 – $93 |
| 12 | Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges | $44 | $41 | $24 | 58% | — | $19 – $93 |
| 13 | Optum medica ma medicare advantage plan behavioral health [1350] facility · percent of total billed charges · bothfrom % of charges | $53 | $50 | $29 | 58% | — | $23 – $112 |
| 14 | Blue Cross Blue Shield blue cross blue shield aco [851] facility · percent of total billed charges · bothfrom % of charges | $77 | $72 | $42 | 58% | — | $34 – $162 |
| 15 | Ucare ucare ifp [1108] facility · percent of total billed charges · bothfrom % of charges | $77 | $72 | $42 | 58% | — | $34 – $162 |
| 16 | Blue Cross Blue Shield blue cross blue shield fep [874] facility · percent of total billed charges · bothfrom % of charges | $77 | $72 | $42 | 58% | — | $34 – $163 |
| 17 | Anthem blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges | $79 | $74 | $43 | 58% | — | $34 – $165 |
| 18 | Blue Cross Blue Shield blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges | $79 | $74 | $43 | 58% | 1,045 | $34 – $165 |
| 19 | Blue Cross Blue Shield complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges | $79 | $74 | $43 | 58% | — | $34 – $165 |
| 20 | Blue Cross Blue Shield transplant bcbs [1140] facility · percent of total billed charges · bothfrom % of charges | $79 | $74 | $43 | 58% | — | $34 – $165 |
| 21 | Healthpartners complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges | $79 | $74 | $43 | 58% | — | $34 – $165 |
| 22 | Medica az medica non mayo employees group [754] facility · percent of total billed charges · bothfrom % of charges | $79 | $74 | $43 | 58% | — | $34 – $165 |
| 23 | Medica by plan [76] facility · percent of total billed charges · bothfrom % of charges | $79 | $74 | $43 | 58% | — | $34 – $165 |
| 24 | Medica deanhp by medica west mc hmo 90 pct [1349] facility · percent of total billed charges · bothfrom % of charges | $79 | $74 | $43 | 58% | — | $34 – $165 |
| 25 | Healthpartners transplant [692] facility · percent of total billed charges · bothfrom % of charges | $80 | $75 | $44 | 58% | — | $35 – $167 |
Last updated: Aug 14, 2026
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