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
LEVOCARNITINE 20 MG/ML INTRAVENOUS SOLUTION (NICU)
Augusta, GA
See all hospitals reporting HCPCS J1955 →Price type
Piedmont Augusta’s median price of $29 is 46% below the median hospital's median price ($54), higher than 21% of the 1,679 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: 11 payers, 15 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 south carolina shp fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Blue Cross Blue Shield blue cross hmo fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Caresource caresource medicaid fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 5 | Anthem anthem pathway fee schedule · both | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Bcbs Sc bcbs south carolina exchange percent of total billed charges · bothfrom % of charges | $34 | $34 | $23 | 68% | — | $11 – $57 |
| 7 | UnitedHealthcare united healthcare fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 8 | UnitedHealthcare united healthcare exchange fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Cigna cigna fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 10 | Blue Cross Blue Shield blue cross south carolina percent of total billed charges · bothfrom % of charges | $66 | $66 | $45 | 68% | — | $21 – $110 |
| 11 | Medcost medcost percent of total billed charges · bothfrom % of charges | $83 | $83 | $57 | 68% | — | $27 – $140 |
| 12 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $92 | $92 | $63 | 68% | — | $29 – $155 |
| 13 | Phcs phcs percent of total billed charges · bothfrom % of charges | $92 | $92 | $63 | 68% | — | $29 – $155 |
| 14 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $155 | $155 | $106 | 68% | — | $49 – $261 |
| 15 | First Health first health percent of total billed charges · bothfrom % of charges | $178 | $178 | $121 | 68% | — | $57 – $299 |
Last updated: Jul 1, 2026
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