25000088 — Levophed 4mg/4ml
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Levophed 4mg/4ml (OTHER 25000088) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25000088?code_type=OTHER
MLA (9th ed.)
“Levophed 4mg/4ml (OTHER 25000088) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25000088?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Levophed 4mg/4ml (OTHER 25000088) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25000088?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $58–$96 (25th–75th percentile) across 3 hospitals · 54 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 25000088 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Humana (Medicare Advantage) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Aetna (Medicare Advantage) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Aetna (Commercial) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Amerigroup (Medicare Advantage) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Wellcare (Harmony Health Plan) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Aetna Better Health (Medicaid) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Amerigroup La Healthy Blue (Medicaid) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Amerihealth Caritas (Medicaid) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Bcbs Of Louisiana (Commercial) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Bcbs Of Louisiana (Medicare Advantage) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Cigna Behavioral Health (Commercial) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Humana (Commercial) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | La Healthcare Connection (Medicaid) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Medicare (Traditional) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Optum (United Healthcare/United Behavioral Health) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | United Healthcare Community Plan (Medicaid) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FREEDOM BEHAVIORAL HOSPITAL OF MONROE | Va Community Care Network - Optum (Ubh) | — | $4.00 | $4.00 | — | 2026-05-18 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $33.31 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Healthsync | — | $44.67 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Federal | — | $49.91 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Hmo | — | $49.91 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Ppo | — | $49.91 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Out Of State Blue Cross In Out Of State | — | $49.91 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Unitedhealthcare Shared Services | — | $58.18 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care United Medical Resources | — | $58.18 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Ppo | — | $58.18 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Golden Rule Insurance | — | $58.18 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources Umr-Wausau | — | $58.18 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources United Medical Resources | — | $58.18 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care All Savers | — | $58.18 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare | — | $58.18 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Navigate | — | $58.18 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Choice | — | $58.18 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Cigna Cigna Oa Plus | — | $61.15 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Cigna Cigna Ppo | — | $61.15 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care National Assoc Of Letter Carriers | — | $61.15 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Oap/Pos State Of Illinois | — | $66.14 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna | — | $66.14 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Meritain Health | — | $66.14 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Choice Ppo | — | $66.14 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Hmo/Pos | — | $66.14 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Choice Care | — | $66.89 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Choice Pos | — | $66.89 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Ppo | — | $66.89 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Unified Group Services | — | $67.20 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Traditional Indemnity | — | $69.65 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care First Health | — | $74.02 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Siho | — | $76.80 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Sagamore Plus | — | $78.34 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Multiplan | — | $86.40 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Encore Ppo | — | $86.40 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Phcs Generic | — | $86.40 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Iu Health Encore | — | $86.40 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Allied Benefit Systems | — | $86.40 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid Package E Only | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid In Traditional | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid Hosp Presumptive Elig | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Mdwise Excel Hip | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Mdwise Excel Hhw | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Caresource Hip | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Caresource Hhw | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A & B | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A Only | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part B | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Aetna Medicare Replacement | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Anthem Bc Medicare Replacement | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Communicare Advantage Plan | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Choice Pffs | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Plus Hmo | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Oak Street | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Iu Health Plans Mc Replacement | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Medicare Replacement Ins | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Optum Medicare Replacement | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement United Healthcare Mc Replacement | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellcare By Allwell | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Medicaid | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Healthy Indiana Plan | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Ambetter | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Health Services Mhs Care Connect | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Health Services Managed Hlth Serv Hip | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Health Services Managed Health Services | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Us Dept Of Labor | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Corvel | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Franciscan Alliance Emp | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Workers Comp Generic Indiana | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Care Connect | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care American Postal Worker Union | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Caresource Marketplace | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Dunn And Associates | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid United Healthcare Care Connect | — | $96.00 | $96.00 | $26.30 | 2026-07-30 | MRF ↗ |
| ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW | Wellcare (Harmony Health Plan) | — | $819.00 | $819.00 | — | 2026-07-31 | MRF ↗ |
| ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW | Cigna Behavioral Health (Commercial) | — | $819.00 | $819.00 | — | 2026-07-31 | MRF ↗ |
| ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW | Medicare (Traditional) | — | $819.00 | $819.00 | — | 2026-07-31 | MRF ↗ |
| ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW | Optum (United Healthcare/United Behavioral Health) | — | $819.00 | $819.00 | — | 2026-07-31 | MRF ↗ |
| ALLEGIANCE BEHAVIORAL HEALTH CENTER OF PLAINVIEW | Bcbs Of Texas (Commercial) | — | $819.00 | $819.00 | — | 2026-07-31 | MRF ↗ |