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
Midazolam-Sodium Chloride
Low
$0
Average
$73
Median
$49
High
$309
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
44 hospitals; the 90th percentile is 1045.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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44 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $32 | $39 | $12 | 30% | — | $32 – $59 |
| 2 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $50 | $15 | 30% | — | $30 – $71 |
| 3 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $48 | $15 | 30% | — | $29 – $69 |
| 4 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $48 | $15 | 30% | — | $29 – $69 |
| 5 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $61 | $18 | 30% | — | $37 – $88 |
| 6 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $181 | $181 | — | — | — | $181 – $181 |
| 7 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 8 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $309 | $309 | — | — | — | $309 – $309 |
| 9 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $167 | $167 | $0 | 0% | — | $167 – $167 |
| 10 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $167 | $167 | $0 | 0% | — | $167 – $167 |
| 11 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 12 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | McLeod Health Dillon, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | McLeod Health Cheraw, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | McLeod Health Manning, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | McLeod Health Florence, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | McLeod Health Beach, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | McLeod Health Loris, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | McLeod Health River, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 24 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS J2251 · Snapshot 20261111T120946Z-9134e7f7