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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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$1.05$1.04 – $2.62
Cascade Medical CenterLeavenworth$35.60 – $53.504 plans$51.20$64.00
Cascade Valley HospitalArlington$13.70 – $71.281 plan$10.96 – $57.02$13.70 – $71.28
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$1.01 – $1.81$1.17 – $4.52
EvergreenHealth Medical CenterKirkland—$24.80 – $166$31.00 – $208
EvergreenHealth MonroeMonroe—$25.60 – $173$32.00 – $216
Highline Medical CenterBurienFile dated 2026-02-28—$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—$1.13$1.02 – $2.81
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$1.25$1.04 – $3.12
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27——$1.04 – $1.79
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1.04 – $3.45$1.04 – $8.62
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$1.11$1.01 – $2.77
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$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$9.07 – $42.8812 plans$35.30 – $132$35.30 – $132
Skagit Valley HospitalMount Vernon—$10.96 – $57.02$13.70 – $71.28
St Anthony HospitalGig HarborFile dated 2026-02-28—$72.13 – $591$237 – $1,942
St Clare HospitalLakewoodFile dated 2026-02-28—$68.36 – $560$237 – $1,942
St Elizabeth HospitalEnumclawFile dated 2026-02-28$66.41 – $6445 plans$83.81 – $686$237 – $1,942
St Francis Community HospitalFederal WayFile dated 2026-02-28—$74.43 – $609$237 – $1,942
St Joseph Medical CenterTacomaFile dated 2026-02-28—$78.55 – $643$237 – $1,942
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$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—$1.07 – $1.23$1.04 – $3.07
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.