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
MOXIFLOX PER 100MG 400MG/250ML FK
Low
$6
Average
$69
Median
$69
High
$236
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 17.2× 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.
Filter by billing methodology
Filter by billing class
49 hospital rates
iThe hospitals that file a Ambetter 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 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $72 | $72 | $5 | 6% | — | $67 – $77 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $75 | $75 | $4 | 5% | — | $71 – $78 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $74 | $74 | $5 | 6% | — | $69 – $78 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $73 | $73 | $6 | 8% | — | $67 – $78 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $72 | $72 | $7 | 10% | — | $65 – $78 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $69 | $69 | $8 | 11% | — | $61 – $77 |
| 8 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $95 | $95 | $5 | 5% | — | $90 – $100 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $92 | $92 | $8 | 8% | — | $84 – $100 |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $69 | $69 | $8 | 11% | — | $61 – $77 |
| 11 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 12 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 13 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 16 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 17 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 18 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 19 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 20 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 21 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | MEMORIAL HEALTH MEADOWS HOSPITAL Vidalia, GA fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 23 | Magee Rehabilitation Hospital Philadelphia, PA facility · fee schedule · inpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $18 | $17 | $7 | 41% | — | $8 – $24 |
| 25 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
← Payers reporting HCPCS J2281 · Snapshot 20261111T120946Z-9134e7f7