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
$1
Average
$211
Median
$13
High
$12.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
248 hospitals; the 90th percentile is 19.0× 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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263 hospital rates
iThe hospitals that file a WellCare 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 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $8 | 120% | 30–300 | $1 – $33 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $8 | 120% | 30–300 | $1 – $33 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $8 | 120% | 30–300 | $1 – $33 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $8 | $10 | 120% | 30–300 | $1 – $41 |
| 5 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · fee schedule · both | 1 | $1 | $1 | — | — | 23–230 | $1 – $1 |
| 6 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $8 | $3 | 32% | 21–210 | $6 – $15 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $6 | $7 | 120% | 18 | $1 – $30 |
| 8 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $40 | $40 | — | — | 16 | $40 – $40 |
| 9 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $3 | $3 | — | — | 11–110 | $3 – $3 |
| 10 | UMMC HOLMES COUNTY LEXINGTON, MS percent of total billed charges · bothfrom % of charges | 1 | $28 | $35 | $13 | 37% | 8–80 | $27 – $62 |
| 11 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $14 | $3 | 21% | 5–50 | $10 – $16 |
| 12 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $13 | $3 | 21% | 5–50 | $10 – $16 |
| 13 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $10 | $2 | 17% | 4–40 | $7 – $11 |
| 14 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · inpatientfrom % of charges | 1 | $13 | $12 | $2 | 18% | 4–40 | $8 – $14 |
| 15 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $67 | $67 | — | — | 4–40 | $67 – $67 |
| 16 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $11 | $16 | $11 | 68% | 4–40 | $9 – $36 |
| 17 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $67 | $67 | — | — | 3–30 | $67 – $67 |
| 18 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $3 | $3 | — | — | 2–20 | $3 – $3 |
| 19 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 20 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | 1–10 | $97 – $97 |
| 21 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 22 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $1 | 21% | — | $5 – $7 |
| 23 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $13 | $11 | 81% | — | $0 – $33 |
| 24 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $9 | $2 | 18% | — | $6 – $10 |
| 25 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $12 | $12 | $2 | 18% | — | $8 – $13 |
← Payers reporting HCPCS J1956 · Snapshot 20261111T120946Z-9134e7f7