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
$65
Median
$19
High
$763
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
110 hospitals; the 90th percentile is 212.8× 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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188 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $1 | $1 | — | — | 80 | $1 – $1 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 3 | $216 | $152 | $106 | 70% | 29–38 | $2 – $237 |
| 3 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $3 | $3 | $0 | 8% | 25 | $2 – $3 |
| 4 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $2 | $2 | — | — | 23 | $2 – $2 |
| 5 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $275 | $275 | $3 | 1% | 23 | $272 – $279 |
| 6 | Lakes Regional Hospital Spirit Lake, IA fee schedule · outpatient | 2 | $1 | $1 | — | — | 6–60 | $1 – $1 |
| 7 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $5 | $5 | $1 | 26% | 4–40 | $3 – $6 |
| 8 | Osceola Regional Health Center Sibley, IA fee schedule · outpatient | 2 | $1 | $1 | — | — | 4–40 | $1 – $1 |
| 9 | Regional Health Services of Howard County Cresco, IA fee schedule · outpatient | 2 | $1 | $1 | — | — | 4–40 | $1 – $1 |
| 10 | Sioux Center Health Sioux Center, IA fee schedule · outpatient | 2 | $1 | $1 | — | — | 4–40 | $1 – $1 |
| 11 | Avera Milbank Hospital Milbank, SD outpatient | 1 | $189 | $189 | — | — | 3–30 | $189 – $189 |
| 12 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $173 | $173 | $1 | 0% | 3–30 | $172 – $173 |
| 13 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $3 | $3 | — | — | 3–30 | $3 – $3 |
| 14 | Avera Queen of Peace Mitchell, SD fee schedule · outpatient | 1 | $1 | $1 | — | — | 3–30 | $1 – $1 |
| 15 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $2 | $2 | — | — | 3–30 | $2 – $2 |
| 16 | Avera St. Luke's Aberdeen, SD fee schedule · outpatient | 1 | $1 | $1 | — | — | 3–30 | $1 – $1 |
| 17 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 2 | $96 | $97 | $44 | 46% | 3–30 | $50 – $152 |
| 18 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $1 | $1 | — | — | 2–20 | $1 – $1 |
| 19 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $1 | $1 | — | — | 2–20 | $1 – $1 |
| 20 | Avera DeSmet De Smet, SD outpatient | 1 | $241 | $241 | — | — | 2–20 | $241 – $241 |
| 21 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $248 | $248 | $22 | 9% | 2–20 | $226 – $269 |
| 22 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $309 | $309 | — | — | 2–20 | $309 – $309 |
| 23 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $275 | $275 | $3 | 1% | 2–20 | $272 – $279 |
| 24 | Platte Healthcare Platte, SD outpatient | 1 | $63 | $63 | — | — | 2–20 | $63 – $63 |
| 25 | Platte Healthcare Platte, SD percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $12 | 16% | 2–20 | $63 – $87 |
← Payers reporting HCPCS J1956 · Snapshot 20261111T120946Z-9134e7f7