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
Levofloxac/D5W 500MG/100ML Bag
De Smet, SD
See all hospitals reporting HCPCS J1956 →Price type
Avera DeSmet’s median price of $267 is 1808% above the median hospital's median price ($14), higher than 97% of the 2,276 hospitals reporting HCPCS J1956. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 11 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 | Medica com fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Medica ind fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Medica ind percent of total billed charges · inpatientfrom % of charges | $220 | $220 | $19 | 9% | — | $201 – $240 |
| 4 | Wellmark hmo outpatient | $241 | $241 | — | — | 2–20 | $241 – $241 |
| 5 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $248 | $248 | $22 | 9% | — | $226 – $269 |
| 6 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $248 | $248 | $22 | 9% | 2–20 | $226 – $269 |
| 7 | Medica com percent of total billed charges · inpatientfrom % of charges | $262 | $262 | $23 | 9% | — | $239 – $285 |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $289 | $289 | $25 | 9% | — | $264 – $315 |
| 9 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $289 | $289 | $25 | 9% | — | $264 – $315 |
| 10 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $322 | $322 | $28 | 9% | — | $294 – $350 |
| 11 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $322 | $322 | $28 | 9% | — | $294 – $350 |
Last updated: Apr 1, 2026
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