Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
MIDAZOLAM 5 MG/ML (COMBINED) INTRANASAL SOLUTION WRAPPER
Cannon, NC
See all hospitals reporting HCPCS J2250 →Price type
Charles A. Cannon Jr. Memorial Hospital, Inc’s median price of $24 is 433% above the median hospital's median price ($4), higher than 80% of the 2,331 hospitals reporting HCPCS J2250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare commercial facility · fee schedule · outpatient | $0.43 | $0.43 | $0.43 – $0.43 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $21.34 | $21.61 | $18.14 – $33.82 |
| 3 | Optum vaccn facility · percent of total billed charges · outpatientfrom % of charges | $21.39 | $21.66 | $18.18 – $33.90 |
| 4 | Optum vaccn behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $21.39 | $21.66 | $18.18 – $33.90 |
| 5 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $21.60 | $21.88 | $18.37 – $34.25 |
| 6 | Humana medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $21.60 | $21.88 | $18.36 – $34.24 |
| 7 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $21.60 | $21.88 | $18.37 – $34.25 |
| 8 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $21.82 | $22.10 | $18.55 – $34.59 |
| 9 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $22.67 | $22.96 | $19.27 – $35.93 |
| 10 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $26.59 | $26.94 | $22.61 – $42.15 |
| 11 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $34.66 | $35.11 | $29.47 – $54.94 |
| 12 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $35.57 | $36.03 | $30.24 – $56.38 |
| 13 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $38.15 | $38.64 | $32.44 – $60.47 |
| 14 | UnitedHealthcare individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $39.47 | $39.98 | $33.56 – $62.57 |
| 15 | UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $42.04 | $42.58 | $35.74 – $66.63 |
| 16 | Medcost standard facility · percent of total billed charges · outpatientfrom % of charges | $42.60 | $43.15 | $36.22 – $67.52 |
| 17 | Medcost standard facility · percent of total billed charges · inpatientfrom % of charges | $45.39 | $45.98 | $38.59 – $71.95 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $51.94 | $52.61 | $44.16 – $82.32 |
| 19 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $64.16 | $64.99 | $54.55 – $101.69 |
Last updated: Jun 4, 2026
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