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
Wisconsin
Hospital Address Code Price Last Updated
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 80177 $18 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 80177 $18 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 80177 $18 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 80177 $18 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 80177 $20 [source] 3 years ago
River Falls Area Hospital , River Falls 80177 $25 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton 80177 $29 [source] 3 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford 80177 $88 [source] 3 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior 80177 $122 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown 80177 $123 [source] 3 years ago
Upland Hills Health 800 Compassion Way, Dodgeville 80177 $163 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 80177 $167 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 80177 $167 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo 80177 $167 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, 80177 $167 [source] 3 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette 80177 $177 [source] 3 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan 80177 $177 [source] 3 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy 80177 $177 [source] 3 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn 80177 $177 [source] 3 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington 80177 $177 [source] 3 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee 80177 $177 [source] 3 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay 80177 $177 [source] 3 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers 80177 $177 [source] 3 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc 80177 $177 [source] 3 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton 80177 $177 [source] 3 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee 80177 $177 [source] 3 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee 80177 $177 [source] 3 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford 80177 $177 [source] 3 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha 80177 $177 [source] 3 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh 80177 $177 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 80177 $189 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage 80177 $191 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus 80177 $198 [source] 3 years ago
Tomah Memorial Hospital 501 Gopher Dr, Tomah 80177 $201 [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.