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NDC 00641604501

LORAZEPAM 4 MG/ML INJECTION SOLUTION

Reported by 36 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

$1

Average

$18

Median

$11

High

$337

Hospitals reporting this code

#HospitalLocation
1UPMC LititzLititz, PA$0$1$1$2$0
2UPMC MemorialYork, PA$0$1$2$13$2
3UPMC HanoverHanover, PA$0$1$1$2$0
4UPMC CarlisleCarlisle, PA$0$1$1$2$0
5UPMC Pinnacle HospitalsHarrisburg, PA$0$2$3$27$6
6UPMC SomersetSomerset, PA$1$1$2$16$4
7Baylor Scott & White Medical Center - TempleTemple, TX$2$10$11$17$3
8Baylor Scott & White Medical Center - BrenhamBrenham, TX$2$10$8$17$5
9Baylor Scott & White Medical Center - TaylorTaylor, TX$2$10$9$15$4
10Baylor Scott & White Medical Center - HillcrestWaco, TX$2$10$10$16$3
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