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Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback cost in Wisconsin

LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK · HCPCS J1956

$7.05

lowest in Wisconsin

$12.83

state median

$438.15

highest in Wisconsin

$65.08

national median

Hospital	City	Cash price	Negotiated range	Payers
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	Oshkosh	$7.05	$1.30 – $7.26	6
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Mequon	$8.10	$1.12 – $2.81	10
Ascension Calumet Hospital, Inc.	Chilton	$10.66	$1.30 – $3.00	6
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)	Milwaukee	$12.76	$1.12 – $3.12	10
Midwest Orthopedic Specialty Hospital	Franklin	$12.83	$1.12 – $5.76	10
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	Appleton	$15.52	$1.30 – $7.26	6
Ascension St. Francis Hospital, Inc.	Milwaukee	$18.23	$1.12 – $5.76	10
Ascension SE Wisconsin Hospital - St. Joseph Campus	Milwaukee	$20.79	$1.12 – $5.76	10
Adventhealth Durand	Durand	$438.15	not published	0
SSM Health Waupun Memorial Hospital	Waupun	not published	$1.13 – $5.15	5
SSM Health St. Mary's Hospital - Madison	Madison	not published	$1.36 – $3.72	3
SSM Health St. Mary's Hospital - Janesville	Janesville	not published	$1.49 – $3.72	3
SSM Health St. Clare Hospital - Baraboo	Baraboo	not published	$1.49 – $3.72	3
SSM Health St. Agnes Hospital - Fond du Lac	Fond Du Lac	not published	$1.13 – $5.15	5
SSM Health Ripon Community Hospital	Ripon	not published	$1.13 – $5.15	5
SSM Health Monroe Hospital	Monroe	not published	$1.03 – $3.08	6