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NDC 0143937910

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

Reported by 13 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$1

Average

$30

Median

$18

High

$74

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoSalt Lake City, UT$0$14$14$330—
2Catholic Health Initiatives ColoradoColorado Springs, CO$0$1$1$290—
3St Francis HospitalColorado Springs, CO$0$1$1$281—
4Longmont United HospitalLongmont, CO$0$18$18$297—
5Catholic Health Initiatives ColoradoFrisco, CO$0$36$36$304—
6Commonspirit Kansas, Inc.Dodge City, KS$0$71$71$297$0
7Catholic Health Initiatives ColoradoDurango, CO$89$74$74$297—
8Commonspirit Kansas, Inc.Garden City, KS$0$71$71$320—
9Catholic Health Initiatives ColoradoWest Jordan, UT$0$31$31$330$13
10Orthocolorado, LlcLakewood, CO$0$20$14$281$10
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