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NDC 00054356699

MIDAZOLAM 2 MG/ML PO SYRP

Reported by 54 hospitals in the network under the percent of billed charges methodology.

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.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$4

Average

$168

Median

$80

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
5IHC Health Services Inc., DBA Intermountain Primary Children's HospitalCity, UT$187$380$395$458$53
6St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$589$1.0k$983$1.1k$129
7IHC Health Services Inc., DBA Intermountain Health Fillmore Community HospitalFillmore, UT$235$587$546$593$97
8Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$224$665$626$764$153
9Memorial Hospital of Laramie CountyCheyenne, WY$331$399$390$436$28
10Carolinas Medical CenterCharlotte, NC$63$147$156$261$63
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