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NDC 68094076462

MIDAZOLAM 10 MG/5 ML (2 MG/ML) PO SYRP

Reported by 99 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

$1

Average

$288.6k

Median

$11

High

$28571.5k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$2$8$8$11$2
2University of Iowa Health Care Medical CenterIowa City, IA$3$8$8$11$2
3IOM Health System LPFort Wayne, IN$20$38$43$72$16
4Bluffton Health System LLCBluffton, IN$36$92$91$134$31
5Dukes Health System LLCPeru, IN$33$80$86$177$39
6Warsaw Health System LLCWarsaw, IN$48$134$134$214$46
7Lutheran Musculoskeletal Center LLCFort Wayne, IN$36$73$79$149$28
8St. Joseph Health System, LLCIN 46802, IN$23$58$28571.5k$96$166598.6k
9Dupont Hospital LLCIN 46825, IN$13$28$30$48$11
10Natchez Hospital Company LLCNatchez, MS$4$26$34$85$26
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