Levocarnitine injection, per gram at UPMC East

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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Generated: October 20, 2026

Original text from hospital filings

LEVOCARNITINE 1GM/5ML INJ

Monroeville, PA

See all hospitals reporting HCPCS J1955 →

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC East’s median price of $286 is 431% above the median hospital's median price ($54), higher than 95% of the 1,685 hospitals reporting HCPCS J1955. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1955 at UPMC East

Negotiated rates from the hospital’s own file: 6 payers, 34 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	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
2	Highmark medicaid facility · fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
3	UnitedHealthcare all business facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
4	UnitedHealthcare compass exchange facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
5	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
6	Highmark managed care - social mission facility · fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
7	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
8	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$187	$187	—	—	—	$187 – $187
9	Highmark managed care facility · fee schedule · outpatient	$247	$247	—	—	—	$247 – $247
10	Highmark commercial - indemnity facility · fee schedule · outpatient	$249	$249	—	—	—	$249 – $249
11	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
12	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$263	$263	—	—	—	$263 – $263
13	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
14	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$284	$284	—	—	—	$284 – $284
15	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$284	$284	—	—	—	$284 – $284
16	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$286	$286	—	—	—	$286 – $286
17	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$292	$292	—	—	—	$292 – $292
18	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$292	$292	—	—	—	$292 – $292
19	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$292	$292	—	—	—	$292 – $292
20	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$293	$293	—	—	—	$293 – $293
21	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
22	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
23	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
24	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
25	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$299	$299	—	—	—	$299 – $299

Page 1 of 2 · 34 rates

Last updated: Mar 6, 2026

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