What do doctors typically charge for Injection Midazolam Hydrochloride per 1 Mg?

The nationwide median physician charge for Injection Midazolam Hydrochloride per 1 Mg (HCPCS J2250) is $4.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS J2250?

The standard insurance baseline reimbursement rate is $0.15. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Injection Midazolam Hydrochloride per 1 Mg

HCPCS J2250Medical Service

Injection Midazolam Hydrochloride per 1 Mg

Q: What is Injection Midazolam Hydrochloride per 1 Mg (HCPCS J2250)?

Injection, midazolam hydrochloride, per 1 mg. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

Injection, midazolam hydrochloride, per 1 mg. Clinical pricing breakdown and utilization metrics across 1,215 practicing doctors nationwide.

$4.00

Peer Median Charge

Gross billed rate

$0.15

Standard Baseline

Customary allowable

26.7x

National Markup

Charge vs baseline

1,215

Active Physicians

Billing this code

Planning care or already received a bill for CPT J2250?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Calculate Bundled Cost →Dispute an Inflated Bill 🧾

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $4.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $0.15 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code J2250 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"