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
Seneca, PA
See all hospitals reporting HCPCS J1955 →Price type
UPMC Northwest’s median price of $247 is 357% above the median hospital's median price ($54), higher than 94% 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: 5 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 | Highmark medicaid facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $155 | $118 | $63 | 53% | — | $9 – $155 |
| 3 | Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 4 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $247 | $189 | $101 | 53% | — | $14 – $247 |
| 5 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $247 | $189 | $101 | 53% | — | $14 – $247 |
| 6 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $247 | $189 | $101 | 53% | — | $14 – $247 |
| 7 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $247 | $189 | $101 | 53% | — | $14 – $247 |
| 8 | Highmark commercial - indemnity/managed care facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 9 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $309 | $236 | $126 | 53% | — | $17 – $309 |
| 10 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $358 | $274 | $146 | 53% | — | $20 – $358 |
| 11 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $371 | $283 | $152 | 53% | — | $21 – $371 |
| 12 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $371 | $283 | $152 | 53% | — | $21 – $371 |
| 13 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $381 | $291 | $156 | 53% | — | $22 – $381 |
| 14 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $383 | $293 | $157 | 53% | — | $22 – $383 |
| 15 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $389 | $297 | $159 | 53% | — | $22 – $389 |
| 16 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $389 | $297 | $159 | 53% | — | $22 – $389 |
| 17 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $394 | $301 | $161 | 53% | — | $22 – $394 |
| 18 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $402 | $307 | $164 | 53% | — | $23 – $402 |
| 19 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $402 | $307 | $164 | 53% | — | $23 – $402 |
| 20 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $433 | $331 | $177 | 53% | — | $24 – $433 |
| 21 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $433 | $331 | $177 | 53% | — | $24 – $433 |
| 22 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $525 | $401 | $215 | 53% | — | $30 – $525 |
| 23 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $525 | $401 | $215 | 53% | — | $30 – $525 |
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.