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 250MG/50ML D5W
Erie, PA
See all hospitals reporting HCPCS J1956 →Price type
UPMC Hamot’s median price of $104 is 631% above the median hospital's median price ($14), higher than 90% 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: 6 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 | UnitedHealthcare commercial facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Highmark upmc emergent facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $65 | $96 | $48 | 50% | — | $63 – $190 |
| 7 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $70 | $104 | $52 | 50% | — | $68 – $205 |
| 8 | Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $78 | $115 | $58 | 50% | — | $76 – $228 |
| 9 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $78 | $115 | $58 | 50% | — | $76 – $228 |
| 10 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $78 | $115 | $58 | 50% | — | $76 – $228 |
| 11 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $78 | $115 | $58 | 50% | — | $76 – $228 |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $91 | $134 | $68 | 50% | — | $89 – $266 |
| 13 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $104 | $153 | $77 | 50% | — | $101 – $304 |
| 14 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $104 | $153 | $77 | 50% | — | $101 – $304 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $104 | $153 | $77 | 50% | — | $101 – $304 |
| 16 | Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges | $104 | $153 | $77 | 50% | — | $101 – $304 |
| 17 | Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges | $104 | $153 | $77 | 50% | — | $101 – $304 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $118 | $174 | $88 | 50% | — | $115 – $345 |
| 19 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $130 | $192 | $97 | 50% | — | $127 – $380 |
| 20 | Aetna axa/mmo facility · percent of total billed charges · inpatientfrom % of charges | $181 | $269 | $135 | 50% | — | $177 – $531 |
| 21 | Aetna axa/mmo facility · percent of total billed charges · outpatientfrom % of charges | $181 | $269 | $135 | 50% | — | $177 – $531 |
| 22 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $181 | $269 | $135 | 50% | — | $177 – $531 |
| 23 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $181 | $269 | $135 | 50% | — | $177 – $531 |
| 24 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · inpatientfrom % of charges | $207 | $307 | $155 | 50% | — | $202 – $607 |
| 25 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · outpatientfrom % of charges | $207 | $307 | $155 | 50% | — | $202 – $607 |
Last updated: Mar 6, 2026
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