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
LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN
Falls, MT
See all hospitals reporting HCPCS J1956 →Price type
Benefis Hospitals Inc’s median price of $6 is 59% below the median hospital's median price ($14), higher than 37% of the 2,306 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: 8 payers, 20 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 bhs hb bcbs employee health plan fee schedule · outpatient | $3 | $3 | $1 | 41% | — | $1 – $4 |
| 2 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $3 | $3 | $1 | 41% | — | $2 – $5 |
| 3 | Cigna bhs hb allegiance fee schedule · outpatient | $6 | $6 | $2 | 41% | — | $3 – $9 |
| 4 | Healthpartners bhs hb allegiance fee schedule · outpatient | $6 | $6 | $2 | 41% | — | $3 – $9 |
| 5 | Kaiser bhs hb allegiance fee schedule · outpatient | $6 | $6 | $2 | 41% | — | $3 – $9 |
| 6 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $6 | $6 | $2 | 41% | — | $3 – $9 |
| 7 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $13 | $13 | $9 | 70% | — | $4 – $23 |
| 8 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $15 | $15 | $11 | 70% | — | $5 – $26 |
| 9 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $17 | $17 | $12 | 70% | — | $5 – $28 |
| 10 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $17 | $17 | $12 | 70% | — | $5 – $29 |
| 11 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $18 | $18 | $12 | 70% | — | $5 – $30 |
| 12 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $18 | $18 | $12 | 70% | — | $5 – $30 |
| 13 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $18 | $18 | $12 | 70% | — | $5 – $30 |
| 14 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $19 | $19 | $13 | 70% | — | $5 – $32 |
| 15 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $19 | $19 | $13 | 70% | — | $5 – $32 |
| 16 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $19 | $19 | $13 | 70% | — | $5 – $32 |
| 17 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $19 | $19 | $13 | 70% | — | $5 – $32 |
| 18 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $19 | $19 | $13 | 70% | — | $6 – $32 |
| 19 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $19 | $19 | $13 | 70% | — | $6 – $32 |
| 20 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $20 | $20 | $14 | 70% | — | $6 – $33 |
Last updated: Mar 26, 2026
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