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NDC 9999911240

LORAZEPAM 40 MG/40 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 45–450 billing samples across every hospital reporting.

Low

$98

Average

$141

Median

$157

High

$180

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 ColoradoFort Morgan, CO$221$178$846–60$86$261
2Catholic Health Initiatives ColoradoLayton, UT$146$160$516–60$4$269
3Catholic Health Initiatives ColoradoCanon City, CO$155$140$896–60$40$242
4Longmont United HospitalLongmont, CO$93$98$684–40$1$242
5Catholic Health Initiatives ColoradoFrisco, CO$162$157$714–40$2$248
6Commonspirit Kansas, Inc.Dodge City, KS$189$156$854–40$1$242
7Catholic Health Iniatives ColoradoWestminster, CO$94$98$554–40$1$237
8Catholic Health Initiatives ColoradoColorado Springs, CO$104$105$612–20$1$237
9Catholic Health Initiatives ColoradoSalt Lake City, UT$144$162$562–20$4$269
10Catholic Health Initiatives ColoradoPueblo, CO$121$137$522–20$74$237
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Look up this code directly

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