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
CIPROFLOXACIN IN 5 % DEXTROSE 200 MG/100 ML INTRAVENOUS PGBK [20882]
Arlington, TX
See all hospitals reporting HCPCS J0744 →Price type
AMH Cath Labs LLC’s median price of $27 is 144% above the median hospital's median price ($11), higher than 70% of the 2,146 hospitals reporting HCPCS J0744. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield hmo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 5 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 6 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Blue Cross Blue Shield traditional fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
Last updated: Apr 21, 2026
See Ciprofloxacin 400 mg IV infusion in dextrose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.