NDC 25021-0688-87
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
MIDAZOLAM HCL SODIUM CHLORIDE 100 0 9 MG 100ML I
Low
$95
Average
$263
Median
$263
High
$431
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $108 | $95 | $36 | 38% | — | $0 – $108 |
| 2 | Boston Medical Center Boston, MA | $431 | $431 | — | — | — | $15 – $513 |
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