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NDC 9999910291

LORAZEPAM 0.4 MG/1 ML INJECTION SOLUTION (NEONATE) - COMPOUND

Reported by 9 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 16–160 billing samples across every hospital reporting.

Low

$1

Average

$29

Median

$16

High

$78

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.
1Longmont United HospitalLongmont, CO$2$2$14–40$1$81
2Commonspirit Kansas, Inc.Dodge City, KS$38$38$344–40$1$81
3Catholic Health Initiatives ColoradoColorado Springs, CO$2$2—2–20$1$79
4Catholic Health Initiatives ColoradoFrisco, CO$78$78—2–20$2$83
5Commonspirit Kansas, Inc.Garden City, KS$71$71—2–20$1$87
6Catholic Health Iniatives ColoradoWestminster, CO$1$1—2–20$1$79
7Commonspirit Kansas, Inc.Ulysses, KS$1$1——$32$86
8Catholic Health Initiatives ColoradoFort Morgan, CO$40$49$33—$29$87
9Catholic Health Initiatives ColoradoCanon City, CO$16$16$1—$14$81

Look up this code directly

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