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NDC 0085173701

MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK

Reported by 20 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

$281

Average

$417

Median

$456

High

$578

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$10$304$316$673$162
2Catholic Health Initiatives ColoradoSalt Lake City, UT$20$409$461$765$158
3Catholic Health Initiatives ColoradoColorado Springs, CO$10$327$330$673$173
4Catholic Health Initiatives ColoradoLehi, UT$20$405$457$765$158
5St Francis HospitalColorado Springs, CO$10$294$293$650$139
6Longmont United HospitalLongmont, CO$9$268$312$689$179
7Catholic Health Initiatives ColoradoFrisco, CO$13$459$459$704$199
8Commonspirit Kansas, Inc.Ulysses, KS$13$612$486$727$234
9Commonspirit Kansas, Inc.Dodge City, KS$13$612$527$689$184
10Catholic Health Initiatives ColoradoPueblo, CO$211$344$388$673$147
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