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HCPCS J1953

Injection, levetiracetam, 10 mg

Current code42 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.28 – $2.232 plans$1.05$1.04 – $2.62
Cascade Medical CenterLeavenworth$40.131 plan$51.20$64.00
Cascade Valley HospitalArlington$1.16 – $7198 plans$10.96 – $57.02$13.70 – $71.28
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.11 – $3.302 plans$1.01 – $1.81$1.17 – $4.52
EvergreenHealth Medical CenterKirkland$2.40 – $1937 plans$24.80 – $166$31.00 – $208
EvergreenHealth MonroeMonroe$20.16 – $20112 plans$25.60 – $173$32.00 – $216
Highline Medical CenterBurienFile dated 2026-02-28$102 – $1,7486 plans$72.42 – $593$237 – $1,942
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61$49.44
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1.00 – $2.256 plans$1.13$1.02 – $2.81
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1.06 – $2.283 plans$1.25$1.04 – $3.12
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1.06 – $1.313 plans—$1.04 – $1.79
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.07 – $6.293 plans$1.04 – $3.45$1.04 – $8.62
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1.13 – $1.992 plans$1.11$1.01 – $2.77
Olympic Medical CenterPort AngelesFile dated 2026-06-24$29.42 – $52.636 plans$42.10$52.63
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$4.88 – $36.48$9.75 – $72.95
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $215$101 – $307
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$42.25 – $48.21$81.25 – $92.72
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66 – $215$101 – $307
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66$101
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$39.82$76.57
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $268$101 – $383
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00$42.86
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$42.83 – $48.44$82.37 – $93.15
Seattle Children's HospitalSeattle$19.06 – $12798 plans$35.30 – $132$35.30 – $132
Skagit Valley HospitalMount Vernon$1.98 – $67.727 plans$10.96 – $57.02$13.70 – $71.28
St Anthony HospitalGig HarborFile dated 2026-02-28$130 – $1,4574 plans$72.13 – $591$237 – $1,942
St Clare HospitalLakewoodFile dated 2026-02-28$130 – $1,4574 plans$68.36 – $560$237 – $1,942
St Elizabeth HospitalEnumclawFile dated 2026-02-28$85.38 – $1,7489 plans$83.81 – $686$237 – $1,942
St Francis Community HospitalFederal WayFile dated 2026-02-28$130 – $1,4574 plans$74.43 – $609$237 – $1,942
St Joseph Medical CenterTacomaFile dated 2026-02-28$130 – $1,4574 plans$78.55 – $643$237 – $1,942
St Michael Medical CenterSilverdaleFile dated 2026-02-28$149 – $1,74810 plans$105 – $857$237 – $1,942
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04$75.08
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04$75.08
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04$75.08
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04$75.08
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.06 – $2.243 plans$1.07 – $1.23$1.04 – $3.07
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.00 – $2.761 plan$1.98$1.12 – $4.93

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.