Code: 80177

Description:
HC LEVETIRACETAM, QNT
Other Descriptions:
HC LEVETIRACETAM, QNT
KEPPRA
LEVETIRACETAM
TC KEPPRA QUANT LEVETIRACETAM
LEVETIRACETAM QUEST
LEVETIRACETAM (KEPPRA) (COVN)
LEVETIRACETAM (KEPPRA) (WRD)
LEVITERACCTAM
Keppra SO
Related codes:
Code: 80170
GENTAMICIN PEAK QN
Code: 80171
GABAPENTIN NEURONTIN QN
Code: 80172
DRUG SCREEN QUANTITATIVE GOLD
Code: 80173
HALOPERIDOL HALDOL QN
Code: 80174
IMIPRAMINE (TOFRANIL) QN
Code: 80175
LAMOTRIGINE LAMICTAL QN
Code: 80176
LIDOCAINE QN
Code: 80178
LITHIUM QN
Code: 80179
DRUG ASSAY SALICYLATE
Indiana
Hospital Address Code Price Last Updated
Clark Memorial Health 1220 Missouri Avenue, Jeffersonville 80177 $13 [source] 3 years ago
Iu Health University Hospital 550 N University Blvd, Indianapolis 80177 $13 [source] 3 years ago
Iu Health Neuroscience Center 362 W 15Th St, Indianapolis 80177 $13 [source] 3 years ago
Iu Health Morgan 2209 John R Wooden Dr, Martinsville 80177 $13 [source] 3 years ago
Iu Health Bloomington Hospital 601 W 2Nd St, Bloomington 80177 $13 [source] 3 years ago
Iu Health Methodist Hospital 1701 N Senate Blvd, Indianapolis 80177 $13 [source] 3 years ago
Iu Health Saxony Hospital 13000 E 136Th St, 80177 $13 [source] 3 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis 80177 $18 [source] 3 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson 80177 $18 [source] 3 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel 80177 $18 [source] 3 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester 80177 $18 [source] 3 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford 80177 $18 [source] 3 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood 80177 $18 [source] 3 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem 80177 $18 [source] 3 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport 80177 $18 [source] 3 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville 80177 $18 [source] 3 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon 80177 $18 [source] 3 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis 80177 $18 [source] 3 years ago
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville 80177 $18 [source] 3 years ago
Iu Health Paoli Hospital 642 W Hospital Rd, Paoli 80177 $25 [source] 3 years ago
Encompass Health Deaconess Rehabilitation Hospital 9355 Warrick Trl, Newburgh 80177 $36 [source] 3 years ago
Southern Indiana Rehabilitation Hospital 3104 Blackiston Blvd., New Albany 80177 $84 [source] 3 years ago
Franciscan Health Indianapolis , Indianapolis 80177 $106 [source] 3 years ago
Vibra Hospital Of Northwestern Indiana 9509 Georgia St., Crown Point 80177 $599 [source] 3 years ago
Terre Haute Regional Hospital 3901 S 7Th St, Terre Haute 80177 $819 [source] 3 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil 80177 $6,012 [source] 3 years ago
Ascension St Vincent Fishers 13861 Olio Road, 80177 $6,012 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.