CDM 55150-168-30

INJ, BUPIVACAINE, NOS, 0.5MG

Reported by 9 hospitals in the network under the fee schedule methodology.

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Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

Average

Median

High

#	Hospital	Location
1	St Marys Hospital Medical Center Of Green Bay Inc Hospital Sisters	GREEN BAY, WI	$0	$0	—	—	$0	$0
2	St Nicholas Hospital Of The Hospital Sisters Of The Third Order Of St Francis	SHEBOYGAN, WI	$0	$0	—	—	$0	$0
3	St Marys Hospital Decatur Of Hospital Sisters Of The Third Order Of St Francis	DECATUR, IL	$0	$0	$0	—	$0	$1
4	St Elizabeths Hospital Of The Hospital Sisters Of The Third Order Of St Francis	O'Fallon, IL	$0	$0	$0	—	$0	$0
5	St Clare Memorial Hospital Inc	OCONTO FALLS, WI	$0	$0	—	—	$0	$1
6	St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third Order Of St Francis	Mattoon, IL	$0	$0	$0	—	$0	$0
7	St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St Francis	HIGHLAND, IL	$0	$0	$0	—	$0	$0
8	St Josephs Hospital Hospital Sisters Third Order Of St Francis	Breese, IL	$0	$0	$0	—	$0	$1
9	Hshs Holy Family Hospital Inc	GREENVILLE, IL	$0	$0	—	—	$0	$0

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