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 750MG/150ML Bag
Gregory, SD
See all hospitals reporting HCPCS J1956 →Price type
Avera Gregory Hospital’s median price of $272 is 1848% 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 | $203 | $203 | $2 | 1% | — | $201 – $206 |
| 4 | Medica com percent of total billed charges · inpatientfrom % of charges | $242 | $242 | $3 | 1% | — | $239 – $245 |
| 5 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $267 | $267 | $3 | 1% | — | $264 – $270 |
| 6 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $267 | $267 | $3 | 1% | — | $264 – $270 |
| 7 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $275 | $275 | $3 | 1% | — | $272 – $279 |
| 8 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $275 | $275 | $3 | 1% | 2–20 | $272 – $279 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $297 | $297 | $4 | 1% | — | $294 – $301 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $297 | $297 | $4 | 1% | — | $294 – $301 |
| 11 | Wellmark hmo outpatient | $309 | $309 | — | — | 2–20 | $309 – $309 |
Last updated: Apr 1, 2026
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