NDC 904635361
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
00904-6353-61 - levofloxacin 750 mg Tab
Reported by 33 hospitals in the network under the other methodology.
Based on 8–80 billing samples across every hospital reporting.
Low
$1
Average
$105
Median
$3
High
$1.5k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 33 hospitals; the 90th percentile is 249.8× 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 | Key West HMA LLC | Key West, FL | $142 | $129 | $32 | 2–20 | $38 | $142 |
| 2 | Naples HMA LLC | Naples, FL | $2 | $1 | $0 | 1–10 | $0 | $2 |
| 3 | Naples HMA LLC | Naples, FL | $2 | $1 | $0 | 1–10 | $0 | $2 |
| 4 | Naples HMA LLC | Naples, FL | $2 | $1 | $0 | 1–10 | $0 | $2 |
| 5 | Oro Valley Hospital LLC | Tucson, AZ | $1 | $1 | $0 | 1–10 | $0 | $2 |
| 6 | Northwest Hospital LLC | Tucson, AZ | $1 | $1 | $0 | 1–10 | $0 | $2 |
| 7 | Crestview Hospital Corporation | Crestview, FL | $388 | $1.5k | $2.8k | 1–10 | $70 | $9.0k |
| 8 | Bluffton Health System LLC | Bluffton, IN | $3 | $3 | — | — | $3 | $10 |
| 9 | Dukes Health System LLC | Peru, IN | $3 | $3 | $1 | — | $2 | $9 |
| 10 | St. Joseph Health System, LLC | Wayne, IN | $6 | $6 | — | — | $1 | $6 |
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