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NDC 0143937901

MIDAZOLAM IN 0.9 % NACL 1 MG/ML INFUSION (PREMIX) (SO)

Reported by 20 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

$103

Average

$173

Median

$187

High

$249

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$0$131$136$290$71
2Catholic Health Initiatives ColoradoSalt Lake City, UT$0$174$191$330$76
3Catholic Health Initiatives ColoradoColorado Springs, CO$0$132$137$290$79
4Catholic Health Initiatives ColoradoLehi, UT$0$175$197$330$69
5St Francis HospitalColorado Springs, CO$0$124$122$281$64
6Longmont United HospitalLongmont, CO$0$116$128$297$80
7Catholic Health Initiatives ColoradoFrisco, CO$0$198$189$304$92
8Commonspirit Kansas, Inc.Ulysses, KS$0$264$209$314$102
9Commonspirit Kansas, Inc.Dodge City, KS$0$231$190$297$97
10Catholic Health Initiatives ColoradoPueblo, CO$91$149$168$290$63
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Look up this code directly

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