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NDC 25021-0192-87

CIPROFLOXACIN IN 5 % DEXTROSE 400 MG/200 ML IV PGBK

Reported by 48 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 8,296–8,305 billing samples across every hospital reporting.

Low

$7

Average

$51

Median

$19

High

$178

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.
1Children's Healthcare of AtlantaAtlanta, GA$38$39$93,795$24$56
2Children's Healthcare of AtlantaAtlanta, GA$38$39$103,100$23$56
3Piedmont AugustaAugusta, GA$42$49$23800$6$91
4Piedmont HenryStockbridge, GA$72$64$25600$7$86
5Vanderbilt Wilson County HospitalLebanon, TN$107$95$291–10$2$132
6Northwestern Medicine Central DuPage HospitalWinfield, IL$84$81$53—$11$157
7Northwestern Memorial HospitalChicago, IL$59$82$74—$5$250
8Northwestern Medicine Kishwaukee HospitalDeKalb, IL$183$178$55—$46$250
9Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$11$12$5—$4$23
10Northwestern Medicine Delnor HospitalGeneva, IL$58$51$24—$13$85
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