Lacosamide 200 mg injection at Samaritan Hospital

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION

Troy, NY

See all hospitals reporting HCPCS C9254 →

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $18 is 47% below the median hospital's median price ($35), higher than 45% of the 1,656 hospitals reporting HCPCS C9254. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C9254 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 13 payers, 24 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	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$13	$13	—	—	—	$13 – $13
2	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$13	$13	—	—	—	$13 – $13
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
13	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
14	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
15	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$26	$26	$8	29%	—	$18 – $33
16	First Health first health facility · percent of total billed charges · bothfrom % of charges	$27	$27	—	—	—	$27 – $27
17	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$28	$28	—	—	—	$28 – $28
18	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$30	$30	—	—	—	$30 – $30
19	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$30	$30	—	—	—	$30 – $30
20	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$30	$30	—	—	—	$30 – $30
21	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$33	$33	—	—	—	$33 – $33
22	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$33	$33	—	—	—	$33 – $33
23	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$33	$33	—	—	—	$33 – $33
24	Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$33	$33	—	—	—	$33 – $33

Last updated: Mar 31, 2026

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