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NDC 9999910413

MIDAZOLAM IN 0.9 % NACL 1 MG/ML INFUSION (PREMIX) (SO)

Reported by 13 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 19–190 billing samples across every hospital reporting.

Low

$1

Average

$30

Median

$18

High

$74

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.
1Orthocolorado, LlcLakewood, CO$20$14$106–60$0$258
2Commonspirit Kansas, Inc.Dodge City, KS$71$71$05–50$0$273
3Longmont United HospitalLongmont, CO$18$18—2–20$0$273
4Catholic Health Initiatives ColoradoFrisco, CO$36$36—2–20$0$279
5Commonspirit Kansas, Inc.Garden City, KS$71$71—2–20$0$295
6Catholic Health Iniatives ColoradoWestminster, CO$1$1—2–20$0$267
7Catholic Health Initiatives ColoradoSalt Lake City, UT$14$14——$0$304
8Catholic Health Initiatives ColoradoColorado Springs, CO$1$1——$0$267
9St Francis HospitalColorado Springs, CO$1$1——$0$258
10Catholic Health Initiatives ColoradoDurango, CO$74$74——$82$273
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Look up this code directly

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