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NDC 00054356699

MIDAZOLAM 2 MG/ML PO SYRP

Reported by 54 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$4

Average

$167

Median

$79

High

$983

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$45$169$172$239$50
2Meriter Hospital, IncMadison, WI$2$4$4$8$2
3Grinnell Regional Medical CenterGrinnell, IA$5$12$12$16$4
4University of Iowa Health Care Medical CenterIowa City, IA$65$174$174$239$48
5St Joseph’s Health Services IncHillsboro, WI$5$9$8$11$2
6Gundersen Luthern Medical Center IncLa Crosse, WI$2$5$4$6$1
7Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$14$23$22$31$6
8IHC Health Services Inc., DBA Intermountain Primary Children's HospitalCity, UT$187$380$395$458$53
9St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$589$1.0k$983$1.1k$129
10IHC Health Services Inc., DBA Intermountain Health Fillmore Community HospitalFillmore, UT$235$587$546$593$97
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