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  5. /Percent of billed charges

NDC 409230869

Midazolam HCl Inj 10 MG/2ML (Base Equivalent),Midazolam HCl Inj 5 MG/ML (Base Equivalent),Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 MG/ML (Base Equivalent)

Reported by 8 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Based on 2–20 billing samples across every hospital reporting.

Low

$4

Average

$30

Median

$34

High

$57

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Sanford Bagley Medical CenterBagley, MN$53$47$111–10$15$58
2Sanford Jackson HospitalJackson, MN$52$51$171–10$18$72
3Sanford Medical Center BismarckBismarck, ND$23$22$6—$10$28
4Sanford Westbrook HospitalWestbrook, MN$63$57$15—$18$72
5Sanford Webster HospitalWebster, SD$56$51$16—$24$68
6IHC Health Services Inc., DBA Intermountain Health Heber Valley HospitalHeber City, UT$5$4$1—$2$5
7IHC Health Services Inc., DBA Intermountain Health Bear River Valley HospitalTremonton, UT$5$5$0—$4$5
8IHC Health Services Inc., DBA Intermountain Health Cassia Regional HospitalBurley, ID$5$5$1—$2$5

Look up this code directly

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