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 1GM/5ML INJ
Muncy, PA
See all hospitals reporting HCPCS J1955 →Price type
UPMC Muncy’s median price of $139 is 158% above the median hospital's median price ($54), higher than 82% 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: 7 payers, 30 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) facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Amerihealth Caritas medicaid facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 5 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 7 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 8 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 9 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 10 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 11 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 13 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 14 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 15 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $136 | $136 | — | — | — | $136 – $136 |
| 16 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 17 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 18 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 19 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 20 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 22 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 23 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 24 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $200 | $200 | — | — | — | $200 – $200 |
| 25 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $200 | $200 | — | — | — | $200 – $200 |
Last updated: Mar 6, 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.