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.
Original text from hospital filings
LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK
Low
$0
Average
$90
Median
$15
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1087 hospitals; the 90th percentile is 56.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,482 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $79 | $72 | $24 | 33% | 24,700 | $18 – $93 |
| 2 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $27 | $33 | $14 | 42% | 2,850 | $15 – $59 |
| 3 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 6 | $51 | $60 | $16 | 27% | 2,350 | $44 – $89 |
| 4 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 2 | $9 | $10 | $5 | 47% | 2,050 | $6 – $17 |
| 5 | Memorial Hospital Shiloh, IL fee schedule · both | 2 | $9 | $10 | $5 | 47% | 1,950 | $6 – $17 |
| 6 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $68 | $73 | $10 | 13% | 850 | $66 – $96 |
| 7 | Saint Luke’s East Hospital Summit, MO fee schedule · both | 7 | $14 | $15 | $6 | 39% | 800 | $6 – $22 |
| 8 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $12 | $12 | $5 | 41% | 600 | $6 – $18 |
| 9 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $83 | $81 | $7 | 9% | 500 | $68 – $93 |
| 10 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 5 | $21 | $48 | $62 | 127% | 450 | $1 – $188 |
| 11 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $12 | $12 | $5 | 41% | 400 | $6 – $17 |
| 12 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | $13 | 19% | 318 | $54 – $79 |
| 13 | Missouri Baptist Sullivan Hospital Sullivan, MO fee schedule · both | 3 | $12 | $15 | $8 | 57% | 250 | $6 – $36 |
| 14 | John Muir Health Concord, CA percent of total billed charges · bothfrom % of charges | 7 | $27 | $20 | $12 | 61% | 200 | $1 – $32 |
| 15 | Parkland Health Center Farmington, MO fee schedule · both | 2 | $12 | $12 | $5 | 41% | 200 | $6 – $17 |
| 16 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · bothfrom % of charges | 11 | $80 | $81 | $52 | 64% | 200 | $15 – $207 |
| 17 | Saint Luke’s North Hospital City, KS percent of total billed charges · bothfrom % of charges | 11 | $80 | $81 | $52 | 64% | 200 | $15 – $207 |
| 18 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 6 | $82 | $78 | $16 | 21% | 150 | $40 – $93 |
| 19 | PIEDMONT MCDUFFIE HOSPITAL Thomson, GA percent of total billed charges · bothfrom % of charges | 2 | $33 | $33 | $1 | 2% | 150 | $32 – $34 |
| 20 | Progress West Hospital O'Fallon, MO fee schedule · both | 2 | $12 | $12 | $5 | 41% | 150 | $6 – $17 |
| 21 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $62 | $88 | $78 | 88% | 138–219 | $24 – $240 |
| 22 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | $13 | 19% | 126 | $54 – $79 |
| 23 | Alton Memorial Hospital Alton, IL fee schedule · both | 2 | $12 | $12 | $5 | 41% | 100 | $6 – $17 |
| 24 | Christian Hospital St. Louis, MO fee schedule · both | 2 | $12 | $12 | $5 | 41% | 100 | $6 – $17 |
| 25 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · outpatient | 2 | $0 | $0 | $0 | 22% | 64 | $0 – $0 |
← Payers reporting HCPCS J1956 · Snapshot 20261111T120946Z-9134e7f7