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 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK
Enumclaw, WA
See all hospitals reporting HCPCS J1956 →Price type
Enumclaw Regional Hospital Association’s median price of $120 is 747% above the median hospital's median price ($14), higher than 92% 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: 10 payers, 26 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 | Aetna commercial|awh fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Aetna commercial|all other plans fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Kaiser medicare|all plans fee schedule · outpatient | $86 | $87 | $14 | 16% | — | $70 – $104 |
| 4 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $86 | $87 | $14 | 16% | — | $70 – $104 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $86 | $87 | $14 | 16% | — | $70 – $105 |
| 6 | Optum medicare|all plans fee schedule · outpatient | $86 | $87 | $14 | 16% | — | $70 – $105 |
| 7 | Premera medicare|all plans fee schedule · outpatient | $88 | $89 | $15 | 16% | — | $72 – $107 |
| 8 | Regence medicare|all plans fee schedule · outpatient | $88 | $89 | $15 | 16% | — | $72 – $107 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $92 | $93 | $15 | 16% | — | $74 – $112 |
| 10 | Molina medicare|all plans fee schedule · outpatient | $92 | $93 | $15 | 16% | — | $75 – $113 |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $92 | $93 | $15 | 16% | — | $75 – $113 |
| 12 | Aetna medicare|all plans fee schedule · outpatient | $105 | $106 | $17 | 16% | — | $85 – $128 |
| 13 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $141 | $143 | $23 | 16% | — | $115 – $172 |
| 14 | Molina medicaid|all plans fee schedule · inpatient | $142 | $143 | $24 | 16% | — | $115 – $173 |
| 15 | Molina commercial|marketplace exchange fee schedule · outpatient | $164 | $166 | $27 | 16% | — | $134 – $200 |
| 16 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $171 | $173 | $28 | 16% | — | $139 – $209 |
| 17 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $176 | $178 | $29 | 16% | — | $143 – $214 |
| 18 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $185 | $187 | $31 | 16% | — | $151 – $226 |
| 19 | Aetna commercial|awh fee schedule · inpatient | $190 | $192 | $32 | 16% | — | $155 – $232 |
| 20 | Aetna commercial|all other plans fee schedule · inpatient | $228 | $231 | $38 | 16% | — | $185 – $278 |
| 21 | Cigna commercial|all plans fee schedule · outpatient | $238 | $240 | $39 | 16% | — | $193 – $290 |
| 22 | Cigna commercial|all plans fee schedule · inpatient | $262 | $264 | $43 | 16% | — | $213 – $319 |
| 23 | Aetna commercial|rental fee schedule · inpatient | $342 | $346 | $57 | 16% | — | $278 – $417 |
| 24 | Aetna commercial|rental fee schedule · outpatient | $342 | $346 | $57 | 16% | — | $278 – $417 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $428 | $432 | $71 | 16% | — | $348 – $522 |
Last updated: Feb 28, 2026
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