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 1 MG/ML PF AND NON-PF INJECTION WRAP
Jacksonville, TX
See all hospitals reporting HCPCS J2250 →Price type
Jacksonville Hospital, LLC’s median price of $2 is 48% below the median hospital's median price ($4), higher than 42% 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: 6 payers, 12 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 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $1.83 | $8.54 | $0.91 – $22.88 |
| 2 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $1.83 | $8.54 | $0.91 – $22.88 |
| 3 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $1.83 | $8.54 | $0.91 – $22.88 |
| 4 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $1.90 | $8.85 | $0.94 – $23.70 |
| 5 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $1.90 | $8.85 | $0.94 – $23.70 |
| 6 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $1.90 | $8.85 | $0.94 – $23.70 |
| 7 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $3.62 | $16.90 | $1.79 – $45.29 |
| 8 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $3.62 | $16.90 | $1.79 – $45.29 |
| 9 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $4.08 | $19.05 | $2.02 – $51.06 |
| 10 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $4.68 | $21.85 | $2.32 – $58.56 |
| 11 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $4.68 | $21.85 | $2.32 – $58.56 |
| 12 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $4.68 | $21.85 | $2.32 – $58.56 |
Last updated: Feb 12, 2026
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