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  5. /Percent of billed charges

NDC 143931701

Levofloxacin in D5W IV Soln 750 MG/150ML

Reported by 16 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

Based on 2–20 billing samples across every hospital reporting.

Low

$8

Average

$45

Median

$46

High

$96

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Sanford Bagley Medical CenterBagley, MN$50$44$111–10$14$55
2Sanford Jackson HospitalJackson, MN$66$65$221–10$23$91
3Sanford Medical Center BismarckBismarck, ND$46$44$12—$20$56
4Sanford Aberdeen Medical CenterAberdeen, SD$105$96$20—$56$116
5Sanford Clear Lake Medical CenterClear Lake, SD$87$82$15—$54$99
6Sanford Canton Inwood Medical CenterCanton, SD$73$68$19—$34$88
7Sanford Mayville Medical CenterMayville, ND$73$66$16—$21$82
8Sanford Chamberlain Medical CenterChamberlain, SD$101$94$27—$46$122
9Sanford Webster HospitalWebster, SD$51$47$14—$22$62
10Sanford Sheldon Medical CenterSheldon, IA$60$61$20—$27$84
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