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
$0
Average
$161
Median
$0
High
$1.6k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 12 hospitals; the 90th percentile is 1276.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $0 | $10 | $31 | 310% | — | $0 – $108 |
| 2 | The Carle Foundation Hospital Urbana, IL | $0 | $0 | $0 | 47% | — | $0 – $46 |
| 3 | Pekin Memorial Hospital Pekin, IL | $0 | $0 | — | — | — | $0 – $36 |
| 4 | Methodist Medical Center of Illinois Peoria, IL | $0 | $0 | — | — | — | $0 – $36 |
| 5 | Proctor Community Hospital Peoria, IL | $0 | $0 | — | — | — | $0 – $36 |
| 6 | Carle BroMenn Medical Center Normal, IL | $0 | $0 | — | — | — | $0 – $41 |
| 7 | Carle Eureka Hospital Eureka, IL | $0 | $0 | — | — | — | $0 – $46 |
| 8 | Hoopeston Community Memorial Hospital Hoopeston, IL | $0 | $0 | — | — | — | $0 – $4.0k |
| 9 | Boston Medical Center Boston, MA | $18 | $18 | — | — | — | $15 – $513 |
| 10 | Methodist Hospitals of Dallas Dallas, TX | $36 | $76 | $56 | 73% | — | $31 – $166 |
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