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 200 MG/ML IV SOLN [55281]
Gary, IN
See all hospitals reporting HCPCS J1955 →Price type
The Methodist Hospitals, Inc.’s median price of $24 is 55% below the median hospital's median price ($54), higher than 11% of the 1,685 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: 9 payers, 17 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 | Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Anthem individual on exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Anthem pathway essentials facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 9 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $1 | 4% | — | $22 – $24 |
| 11 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 12 | UnitedHealthcare navigate and core payer facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 13 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | $1 | 4% | — | $24 – $26 |
| 14 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $38 | $38 | $2 | 4% | — | $36 – $39 |
| 15 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | $2 | 4% | — | $40 – $43 |
| 16 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $44 | $44 | $2 | 4% | — | $42 – $46 |
| 17 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $2 | 4% | — | $43 – $47 |
Last updated: Aug 18, 2026
See Levocarnitine injection, per gram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.