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NDC 9999910363

LORAZEPAM 100 MG/100 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE INFUSION - COMPOUND

Reported by 20 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

Based on 12–120 billing samples across every hospital reporting.

Low

$245

Average

$350

Median

$383

High

$439

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.
1Catholic Health Initiatives ColoradoFrisco, CO$404$387$1864–40$2$620
2Catholic Health Iniatives ColoradoWestminster, CO$236$245$1394–40$1$593
3Catholic Health Initiatives ColoradoColorado Springs, CO$259$262$1532–20$1$593
4Commonspirit Kansas, Inc.Garden City, KS$539$439$2132–20$1$653
5Catholic Health Initiatives ColoradoSalt Lake City, UT$360$405$140—$4$674
6Catholic Health Initiatives ColoradoColorado Springs, CO$288$289$155—$1$593
7Catholic Health Initiatives ColoradoLehi, UT$357$402$140—$4$674
8St Francis HospitalColorado Springs, CO$259$257$124—$1$572
9Longmont United HospitalLongmont, CO$232$246$172—$1$606
10Commonspirit Kansas, Inc.Ulysses, KS$539$408$221—$1$640
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Look up this code directly

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