NDC 904635261
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
00904-6352-61 - levofloxacin 500 mg Tab
Reported by 96 hospitals in the network under the percent of billed charges methodology.
Based on 460–478 billing samples across every hospital reporting.
Low
$0
Average
$276
Median
$2
High
$3.5k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 96 hospitals; the 90th percentile is 149.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate 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. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Tri-City Medical Center | Oceanside, CA | $35 | $45 | $20 | 460–478 | $15 | $78 |
| 2 | IOM Health System LP | Fort Wayne, IN | $2 | $2 | $1 | — | $1 | $4 |
| 3 | Bluffton Health System LLC | Bluffton, IN | $5 | $5 | $2 | — | $2 | $7 |
| 4 | Dukes Health System LLC | Peru, IN | $4 | $4 | $1 | — | $1 | $7 |
| 5 | Warsaw Health System LLC | Warsaw, IN | $5 | $5 | $2 | — | $2 | $8 |
| 6 | Lutheran Musculoskeletal Center LLC | Fort Wayne, IN | $4 | $4 | $1 | — | $2 | $8 |
| 7 | St. Joseph Health System, LLC | Wayne, IN | $3 | $3 | $1 | — | $1 | $5 |
| 8 | Dupont Hospital LLC | Wayne, IN | $2 | $2 | $1 | — | $1 | $3 |
| 9 | Natchez Hospital Company LLC | Natchez, MS | $41 | $71 | $53 | — | $11 | $228 |
| 10 | Wesley Health System LLC | Hattiesburg, MS | $28 | $37 | $21 | — | $10 | $94 |
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