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
MOXIFLOXACIN HCL IN NACL 400 MG/250ML IV SOLN
Low
$8
Average
$95
Median
$93
High
$269
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 9.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +24 other terms | 420 | $15 | $18 | $18 | 99% | 1–10 | $0 – $203 |
| 2 | Cigna fee schedule · outpatient · +20 other terms | 313 | $16 | $28 | $32 | 118% | — | $6 – $386 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 232 | $18 | $30 | $32 | 107% | — | $0 – $366 |
| 4 | Aetna fee schedule · outpatient · +23 other terms | 199 | $17 | $21 | $23 | 112% | — | $8 – $506 |
| 5 | Humana fee schedule · outpatient · +20 other terms | 163 | $9 | $36 | $37 | 103% | — | $0 – $126 |
| 6 | Anthem fee schedule · outpatient · +19 other terms | 80 | $12 | $17 | $15 | 89% | — | $8 – $122 |
| 7 | Caresource fee schedule · outpatient · +8 other terms | 50 | $15 | $18 | $12 | 69% | — | $9 – $78 |
| 8 | Kaiser fee schedule · both · +14 other terms | 43 | $11 | $11 | $3 | 26% | — | $9 – $15 |
| 9 | MultiPlan fee schedule · inpatient · +15 other terms | 38 | $173 | $160 | $117 | 73% | — | $0 – $541 |
| 10 | Bcbs Tx fee schedule · outpatient · +4 other terms | 30 | $48 | $43 | $14 | 33% | — | $18 – $75 |
| 11 | Medcost percent of total billed charges · outpatientfrom % of charges · +6 other terms | 27 | $109 | $181 | $117 | 65% | — | $43 – $428 |
| 12 | Medica fee schedule · outpatient · +14 other terms | 27 | $19 | $35 | $50 | 141% | — | $0 – $198 |
| 13 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 26 | $179 | $159 | $25 | 16% | — | $124 – $193 |
| 14 | Oscar facility · fee schedule · outpatient · +11 other terms | 26 | $11 | $10 | $1 | 7% | — | $9 – $11 |
| 15 | Molina professional · fee schedule · outpatient · +16 other terms | 25 | $10 | $10 | $0 | 3% | — | $9 – $10 |
| 16 | Highmark facility · fee schedule · outpatient · +9 other terms | 23 | $10 | $32 | $24 | 74% | — | $9 – $108 |
| 17 | Regence professional · fee schedule · outpatient · +8 other terms | 21 | $10 | $10 | $0 | 4% | — | $9 – $11 |
| 18 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +4 other terms | 19 | $152 | $183 | $68 | 37% | — | $113 – $328 |
| 19 | Optum professional · fee schedule · outpatient · +14 other terms | 19 | $37 | $31 | $11 | 35% | — | $9 – $38 |
| 20 | First Health fee schedule · inpatient · +12 other terms | 18 | $157 | $180 | $104 | 58% | — | $66 – $469 |
| 21 | Healthpartners fee schedule · outpatient · +11 other terms | 18 | $10 | $10 | $0 | 2% | — | $10 – $11 |
| 22 | Phcs fee schedule · inpatient · +9 other terms | 16 | $147 | $136 | $35 | 26% | — | $108 – $203 |
| 23 | Wellmark fee schedule · outpatient · +12 other terms | 16 | $9 | $9 | $0 | 1% | — | $9 – $9 |
| 24 | Bcbs La fee schedule · outpatient · +2 other terms | 15 | $10 | $10 | $0 | 2% | — | $9 – $10 |
| 25 | Ucare professional · fee schedule · outpatient · +7 other terms | 14 | $38 | $37 | $7 | 19% | — | $9 – $40 |
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