healthcosts.net

Levetiracetam therapeutic drug level cost in Wisconsin

HC Levetiracetam Tda · CPT 80177

$29.15

lowest in Wisconsin

$61.56

state median

$229.24

highest in Wisconsin

$71.40

national median

Hospital	City	Cash price	Negotiated range	Payers
Orthopaedic Hospital of Wisconsin, LLC	Glendale	$29.15	$12.85 – $23.03	5
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$41.61	$13.25 – $51.15	15
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$41.61	$13.25 – $51.15	15
Midwest Orthopedic Specialty Hospital	Franklin	$47.70	$13.25 – $59.03	17
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$47.70	$13.25 – $59.03	17
Ascension St. Francis Hospital, Inc.	Milwaukee	$47.70	$13.25 – $59.03	17
SSM Health St. Mary's Hospital - Madison	Madison	$50.60	$9.94 – $107.83	5
SSM Health St. Clare Hospital - Baraboo	Baraboo	$52.80	$9.94 – $131.78	5
Ascension Calumet Hospital, Inc.	Chilton	$61.56	$13.91 – $51.15	10
SSM Health Monroe Hospital	Monroe	$66.55	$13.25 – $23.19	4
SSM Health St. Mary's Hospital - Janesville	Janesville	$70.40	$9.94 – $105.44	5
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$127.20	$13.25 – $57.32	16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$127.20	$13.25 – $57.32	16
SSM Health Ripon Community Hospital	Ripon	$151.80	$13.25 – $26.82	4
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	$151.80	$9.94 – $25.57	7
SSM Health Waupun Memorial Hospital	Waupun	$151.80	$13.25 – $26.82	4
UnityPoint Health - Meriter Hospital	Madison	$220.00	$7.95 – $85.80	14
Adventhealth Durand	Durand	$229.24	not published	0