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NDC 00143-9721-01

LEVOFLOXACIN (5 MG/ML) INJECTION FROM PREMIX (PEDS)

Reported by 56 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$1

Average

$87

Median

$15

High

$3.6k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$5$42$41$79$27
2Northwestern Memorial HospitalChicago, IL$2$41$49$125$37
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$23$91$89$125$27
4Northwestern Medicine Valley West HospitalSandwich, IL$8$68$58$113$36
5Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$2$6$6$12$3
6Northwestern Medicine Delnor HospitalGeneva, IL$6$29$25$42$12
7Northwestern Lake Forest HospitalLake Forest, IL$2$7$8$15$4
8Palos Community HospitalPalos Heights, IL$2$8$7$10$3
9Portland Adventist Medical CenterPortland, OR$14$55$50$82$19
10CHI St. Vincent Hospital Hot SpringsHot Springs, AR$1$21$22$42$14
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