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 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK
Ozark, MO
See all hospitals reporting HCPCS J1953 →Price type
Mercy Hospital Springfield’s median price of $29 is 323% above the median hospital's median price ($7), higher than 71% 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: 12 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 hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 6 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 7 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 8 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 15 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 16 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $4 | 28% | — | $10 – $17 |
| 17 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $4 | 28% | — | $10 – $17 |
| 18 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $4 | 28% | — | $10 – $17 |
| 19 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 20 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $27 | $27 | $7 | 28% | — | $19 – $34 |
| 21 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $27 | $27 | $8 | 28% | — | $20 – $35 |
| 22 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $38 | $38 | $10 | 28% | — | $27 – $48 |
| 23 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $46 | $46 | $13 | 28% | — | $33 – $59 |
| 24 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $49 | $49 | $14 | 28% | 200 | $36 – $63 |
| 25 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $52 | $52 | $14 | 28% | — | $37 – $66 |
Last updated: Jun 4, 2026
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