Levocarnitine injection, per gram at Westchester Medical Center

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 200MG/ML PREMIX

Valhalla, NY

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Pricing by billing methodology

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How this price compares nationally

Westchester Medical Center’s median price of $32 is 41% below the median hospital's median price ($54), higher than 25% 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 Westchester Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 29 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	Tricare tricare facility · fee schedule · outpatient	$23	$22	$2	8%	—	$19 – $23
2	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$22	$23	$15	65%	—	$6 – $44
3	Aetna aetna employee facility · percent of total billed charges · inpatientfrom % of charges	$22	$23	$15	65%	—	$6 – $44
4	Aetna aetna hp network facility · percent of total billed charges · inpatientfrom % of charges	$22	$23	$15	65%	—	$6 – $44
5	Blue Cross Blue Shield blue cross access facility · percent of total billed charges · inpatientfrom % of charges	$22	$23	$15	65%	—	$6 – $44
6	Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · inpatientfrom % of charges	$22	$23	$15	65%	—	$6 – $44
7	Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · inpatientfrom % of charges	$22	$23	$15	65%	—	$6 – $44
8	Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · inpatientfrom % of charges	$22	$23	$15	65%	—	$6 – $44
9	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$22	$23	$15	65%	—	$6 – $44
10	UnitedHealthcare uhc commercial facility · percent of total billed charges · inpatientfrom % of charges	$22	$24	$16	65%	—	$7 – $45
11	UnitedHealthcare uhc compass facility · percent of total billed charges · inpatientfrom % of charges	$22	$24	$16	65%	—	$7 – $45
12	UnitedHealthcare uhc empire facility · percent of total billed charges · inpatientfrom % of charges	$22	$24	$16	65%	—	$7 – $45
13	UnitedHealthcare uhc exchange facility · percent of total billed charges · inpatientfrom % of charges	$22	$24	$16	65%	—	$7 – $45
14	Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges	$32	$31	$21	67%	—	$6 – $63
15	Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	$22	69%	—	$6 – $67
16	Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges	$32	$34	$25	74%	—	$6 – $76
17	Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges	$32	$35	$27	78%	—	$6 – $83
18	Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · outpatientfrom % of charges	$32	$36	$28	78%	—	$6 – $84
19	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$32	$37	$30	82%	—	$6 – $91
20	Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges	$32	$37	$30	82%	—	$6 – $91
21	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$32	$38	$33	86%	—	$6 – $98
22	UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges	$33	$39	$33	84%	—	$7 – $98
23	UnitedHealthcare uhc compass facility · percent of total billed charges · outpatientfrom % of charges	$33	$39	$33	84%	—	$7 – $98
24	UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges	$33	$39	$33	84%	—	$7 – $98
25	UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges	$33	$39	$33	84%	—	$7 – $98

Page 1 of 2 · 29 rates

Last updated: Jul 28, 2026

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