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NDC 9999911240

LORAZEPAM 40 MG/40 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE INFUSION - 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 26–260 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.
1Catholic Health Initiatives ColoradoFort Morgan, CO$40$49$335–50$86$261
2Longmont United HospitalLongmont, CO$2$2$14–40$1$242
3Commonspirit Kansas, Inc.Dodge City, KS$38$38$344–40$1$242
4Catholic Health Initiatives ColoradoCanon City, CO$16$16$14–40$40$242
5Catholic Health Initiatives ColoradoColorado Springs, CO$2$2—2–20$1$237
6Catholic Health Initiatives ColoradoFrisco, CO$78$78—2–20$2$248
7Commonspirit Kansas, Inc.Garden City, KS$71$71—2–20$1$261
8Catholic Health Iniatives ColoradoWestminster, CO$1$1—2–20$1$237
9Commonspirit Kansas, Inc.Ulysses, KS$1$1—1–10$94$256

Look up this code directly

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