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HCPCS J1955

LEVOCARNITINE INJ 200 MG/ML - as described in hospitals' own price files.

36hospitals publishing a price
$141median cash price
$138median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Providence Saint Joseph Medical CtrBurbank, CA$39.55-$113-
Mat-Su Regional Medical CenterPalmer, AK$21.00$55.30$70.00$7.50 - $70.00
Providence Regional Medical Center EverettEverett, WA$58.54-$113-
Providence Holy Cross Medical CenterMission Hills, CA$77.77-$222-
Providence St. Joseph HospitalEureka, CA$80.95-$169-
Kadlec Regional Medical CenterRichland, WA$81.38-$116-
Providence St. Vincent Medical CenterPortland, OR$109-$145-
Gadsden Regional Medical CenterGadsden, AL$22.92$122$191$22.92 - $1,525
Providence Alaska Medical CenterAnchorage, AK$128-$164-
Flowers HospitalDothan, AL$28.77$138$192$28.77 - $192
Swedish Edmonds HospitalEdmonds, WA$139-$290-
Swedish Medical Center / Cherry HillSeattle, WA$139-$290-
Swedish IssaquahIssaquah, WA$139-$290-
Saint John'S Health CenterSanta Monica, CA$140-$399-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$140-$399-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$140-$399-
St. Patrick HospitalMissoula, MT$142-$177-
Providence Centralia HospitalCentralia, WA$143-$276-
St. Mary Medical CenterLong Beach, CA$145-$303-
Providence St. Jude Medical CenterFullerton, CA$145-$303-
Grandview Medical CenterBirmingham, AL$40.35$148$269$29.01 - $269
Covenant Medical CenterLubbock, TX$159-$378-
Providence St. Peter HospitalOlympia, WA$179-$345-
Providence Redwood Memorial HospitalFortuna, CA$183-$358-
Providence Queen Of The Valley Medical CenterNapa, CA$183-$358-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$183-$358-
Providence Hood River Memorial HospitalHood River, OR$196-$261-
Providence Newberg Medical CenterNewberg, OR$196-$261-
Providence Medford Medical CenterMedford, OR$196-$261-
Providence Milwaukie HospitalMilwaukie, OR$196-$261-
Providence Portland Medical CenterPortland, OR$196-$261-
Providence Willamette Falls Medical CenterOregon City, OR$196-$261-
Providence St. Joseph Medical CenterPolson, MT$203-$254-
Providence Kodiak Island Medical CtrKodiak, AK$229-$294-
Providence Holy Family HospitalSpokane, WA$397-$567-
Crestwood Medical CenterHuntsville, AL$118$458$654$22.43 - $654

Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.

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