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
$1.8k
Median
$17
High
$2550.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1472 hospitals; the 90th percentile is 59.3× 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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2,061 hospital rates
iThe hospitals that file a Cigna 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 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 3 | $6 | $7 | $3 | 48% | 1,100 | $4 – $12 |
| 2 | Memorial Hospital Shiloh, IL fee schedule · both | 3 | $7 | $8 | $4 | 48% | 700 | $4 – $14 |
| 3 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $61 | $62 | $7 | 11% | 450 | $53 – $70 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN percent of total billed charges · bothfrom % of charges | 4 | $21 | $20 | $3 | 14% | 200 | $14 – $24 |
| 5 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $8 | $8 | $3 | 41% | 200 | $4 – $12 |
| 6 | Saint Luke’s North Hospital Smithville, MO fee schedule · both | 5 | $8 | $8 | $3 | 42% | 200 | $3 – $13 |
| 7 | Saint Luke’s North Hospital City, KS fee schedule · both | 5 | $8 | $8 | $3 | 42% | 200 | $3 – $13 |
| 8 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $66 | $66 | $4 | 5% | 150 | $61 – $72 |
| 9 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $29 | $12 | 41% | 150 | $21 – $46 |
| 10 | Parkland Health Center Farmington, MO fee schedule · both | 3 | $8 | $8 | $3 | 41% | 150 | $4 – $12 |
| 11 | Saint Luke’s East Hospital Summit, MO fee schedule · both | 5 | $8 | $8 | $4 | 43% | 150 | $3 – $13 |
| 12 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 4 | $4 | $31 | $75 | 245% | 106–790 | $3 – $743 |
| 13 | Alton Memorial Hospital Alton, IL fee schedule · both | 3 | $9 | $9 | $4 | 41% | 100 | $4 – $14 |
| 14 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $90 | $86 | $7 | 8% | 100 | $76 – $91 |
| 15 | ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX fee schedule · outpatient | 4 | $4 | $31 | $75 | 245% | 76–760 | $3 – $743 |
| 16 | Northside Hospital, Inc. Atlanta, GA other · outpatient | 5 | $145 | $113 | $46 | 41% | 69–114 | $18 – $145 |
| 17 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · outpatient | 4 | $4 | $31 | $75 | 245% | 38–380 | $3 – $743 |
| 18 | ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · outpatient | 4 | $4 | $31 | $75 | 245% | 38–380 | $3 – $743 |
| 19 | ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · outpatient | 4 | $4 | $31 | $75 | 245% | 38–380 | $3 – $743 |
| 20 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 4 | $28 | $33 | $21 | 65% | 18–180 | $9 – $105 |
| 21 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 3 | $1 | $1 | $0 | 16% | 17–35 | $1 – $2 |
| 22 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN other · both | 2 | $11 | $16 | $14 | 89% | 17 | $4 – $61 |
| 23 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $5 | $5 | — | — | 15 | $5 – $5 |
| 24 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $34 | $22 | 65% | 11–110 | $14 – $105 |
| 25 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 2 | $16 | $16 | — | — | 10–100 | $16 – $16 |
← Payers reporting HCPCS J1956 · Snapshot 20261111T120946Z-9134e7f7