Levetiracetam injection at Quitman Hospital, 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 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK

Quitman, TX

See all hospitals reporting HCPCS J1953 →

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Pricing by billing methodology

Price type

How this price compares nationally

Quitman Hospital, LLC’s median price of $17 is 139% above the median hospital's median price ($7), higher than 60% 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 Quitman Hospital, LLC

Negotiated rates from the hospital’s own file: 10 payers, 23 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 blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges	$7	$11	$8	71%	—	$4 – $22
2	Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges	$7	$11	$8	71%	—	$4 – $22
3	Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges	$7	$11	$8	71%	—	$4 – $22
4	Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges	$7	$11	$8	71%	—	$4 – $22
5	Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges	$7	$11	$8	71%	—	$4 – $22
6	Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges	$7	$11	$8	71%	—	$4 – $22
7	WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges	$7	$11	$8	71%	—	$4 – $22
8	Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges	$7	$11	$8	71%	—	$4 – $22
9	UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges	$7	$11	$8	71%	—	$4 – $22
10	Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges	$8	$13	$9	71%	—	$5 – $25
11	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$12	$20	$14	71%	—	$7 – $39
12	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$12	$20	$14	71%	—	$7 – $39
13	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$12	$20	$14	71%	—	$7 – $39
14	Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges	$17	$26	$19	71%	—	$10 – $52
15	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$17	$26	$19	71%	—	$10 – $52
16	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$17	$26	$19	71%	—	$10 – $52
17	UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges	$25	$39	$28	71%	—	$15 – $78
18	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$25	$39	$28	71%	—	$15 – $78
19	UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges	$25	$39	$28	71%	—	$15 – $78
20	Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges	$28	$45	$32	71%	—	$17 – $89
21	Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges	$33	$53	$38	71%	—	$20 – $105
22	Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges	$33	$53	$38	71%	—	$20 – $105
23	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$33	$53	$38	71%	—	$20 – $105

Last updated: Feb 12, 2026

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