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
Kansas
Hospital Address Code Price Last Updated
Saint Luke’s South Hospital 12300 Metcalf Ave, Shawnee Mission 80177 $7 [source] 3 years ago
Western Plains Medical Complex 3001 Avenue A, Dodge City 80177 $20 [source] 3 years ago
Ascension Via Christi Hospitals Wichita Inc. 929 N Saint Francis St, Wichita 80177 $20 [source] 3 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg 80177 $20 [source] 3 years ago
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan 80177 $21 [source] 3 years ago
Ascension Via Christi Hospital St Teresa Inc. 14800 W Saint Teresa St, Wichita 80177 $22 [source] 3 years ago
Midamerica Rehabilitation Hospital 5701 W 110Th St, Shawnee Mission 80177 $32 [source] 3 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission 80177 $45 [source] 3 years ago
Overland Park Regional Medical Center 10500 Quivira Road, Shawnee Mission 80177 $103 [source] 3 years ago
Anderson County Hospital 421 S Maple St, Garnett 80177 $118 [source] 3 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa 80177 $260 [source] 3 years ago
Ascension Via Christi Rehabilitation Hospital, Inc. 1151 N Rock Rd, Wichita 80177 $10,499 [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 §180.