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NDC 0085173701

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

Reported by 20 hospitals in the network under the percent of billed charges methodology.

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.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$316

Average

$436

Median

$465

High

$588

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$10$306$345$673$138
2Catholic Health Initiatives ColoradoSalt Lake City, UT$20$412$470$765$146
3Catholic Health Initiatives ColoradoColorado Springs, CO$10$348$368$673$142
4Catholic Health Initiatives ColoradoLehi, UT$20$409$467$765$146
5St Francis HospitalColorado Springs, CO$10$306$322$650$111
6Longmont United HospitalLongmont, CO$9$268$341$689$159
7Catholic Health Initiatives ColoradoFrisco, CO$13$459$485$704$173
8Commonspirit Kansas, Inc.Ulysses, KS$13$625$510$727$214
9Commonspirit Kansas, Inc.Dodge City, KS$13$612$562$689$131
10Catholic Health Initiatives ColoradoPueblo, CO$211$344$388$673$147
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