Levofloxacin 500 mg IV infusion

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK

Payers reporting HCPCS J1956

Payer pricing summary

Low

Average

$122

Median

$52

High

$1.2k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +24 other terms	422	$3	$18	$50	274%	323–2,825	$0 – $743
2	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	330	$4	$15	$45	292%	224–890	$0 – $1.1k
3	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$16	$16	—	—	150	$16 – $16
4	UnitedHealthcare fee schedule · outpatient · +30 other terms	516	$4	$24	$86	356%	113–986	$0 – $809
5	Wellmark fee schedule · outpatient · +16 other terms	33	$1	$3	$19	714%	111–390	$1 – $237
6	Anthem fee schedule · outpatient · +24 other terms	132	$3	$14	$29	202%	100–721	$1 – $336
7	Florida Blue percent of total billed charges · bothfrom % of charges	1	$22	$22	$4	18%	31	$18 – $27
8	Kaiser fee schedule · both · +17 other terms	45	$2	$26	$209	789%	29–290	$2 – $1.9k
9	WellCare other · outpatient · +16 other terms	17	$40	$2.4k	$3.5k	148%	24–96	$4 – $12.1k
10	Aetna fee schedule · outpatient · +28 other terms	291	$4	$29	$67	234%	7–70	$0 – $1.8k
11	Medica fee schedule · outpatient · +18 other terms	80	$2	$8	$26	342%	5–50	$0 – $198
12	Bcbs Nd other · outpatient · +4 other terms	1	$6	$6	—	—	3–30	$6 – $6
13	Humana fee schedule · outpatient · +24 other terms	183	$2	$44	$74	169%	—	$0 – $690
14	MultiPlan fee schedule · outpatient · +19 other terms	90	$87	$102	$111	109%	—	$0 – $796
15	Caresource fee schedule · outpatient · +14 other terms	54	$3	$18	$25	139%	—	$0 – $127
16	Molina fee schedule · outpatient · +23 other terms	47	$5	$17	$57	344%	—	$1 – $779
17	Highmark facility · fee schedule · outpatient · +14 other terms	45	$8	$76	$78	102%	—	$1 – $312
18	Medcost percent of total billed charges · bothfrom % of charges · +6 other terms	43	$41	$70	$103	148%	—	$2 – $1.2k
19	Medicaid facility · fee schedule · outpatient · +10 other terms	38	$19	$56	$86	155%	—	$0 – $282
20	First Health fee schedule · outpatient · +16 other terms	36	$72	$78	$93	119%	—	$1 – $690
21	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +4 other terms	31	$66	$123	$153	125%	—	$0 – $804
22	Regence facility · fee schedule · both · +14 other terms	30	$4	$7	$7	98%	—	$2 – $64
23	Excellus facility · fee schedule · both · +8 other terms	29	$4	$6	$4	74%	—	$2 – $21
24	Carefirst facility · fee schedule · both · +10 other terms	28	$4	$6	$5	73%	—	$2 – $21
25	Premera facility · fee schedule · both · +9 other terms	28	$4	$6	$5	74%	—	$2 – $21

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