NDC 72572-0432-10

MIDAZOLAM HCL 5 MG/5 ML VIAL

Reported by 10 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Based on 32–68 billing samples across every hospital reporting.

Low

Average

Median

High

$39

#	Hospital	Location
1	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS	INDIANAPOLIS, IN	$1	$2	$4	32–68	$1	$29
2	Commonspirit Oregon	Pendleton, OR	$45	$39	$10	—	$16	$47
3	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY	CITY, IN	$1	$1	$0	—	$1	$21
4	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT	CROWN POINT, IN	$2	$1	$1	—	$1	$21
5	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER	DYER, IN	$2	$1	$0	—	$1	$21
6	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE	MOORESVILLE, IN	$1	$1	$0	—	$1	$17
7	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE	LAFAYETTE, IN	$1	$1	$0	—	$1	$21
8	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER	MUNSTER, IN	$2	$1	$1	—	$1	$16
9	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL	CARMEL, IN	$1	$1	$0	—	$1	$26
10	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE	CRAWFORDSVILLE, IN	$1	$1	$0	—	$1	$19

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