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NDC 9999910702

DIAZEPAM 5 MG/ML INJECTION (SO)

Reported by 20 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Based on 10–100 billing samples across every hospital reporting.

Low

$59

Average

$82

Median

$87

High

$110

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 ColoradoWest Jordan, UT$77$87$276–60$14$143
2Catholic Health Initiatives ColoradoLayton, UT$79$87$254–40$14$143
3Catholic Health Initiatives ColoradoColorado Springs, CO$57$65$26—$6$126
4Catholic Health Initiatives ColoradoSalt Lake City, UT$77$88$27—$14$143
5Catholic Health Initiatives ColoradoColorado Springs, CO$65$69$27—$6$126
6Catholic Health Initiatives ColoradoLehi, UT$77$87$27—$14$143
7St Francis HospitalColorado Springs, CO$57$60$21—$6$122
8Longmont United HospitalLongmont, CO$50$64$30—$6$129
9Catholic Health Initiatives ColoradoFrisco, CO$86$91$32—$9$132
10Commonspirit Kansas, Inc.Ulysses, KS$117$95$40—$8$136
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