Skin protectant or moisturizer ointment

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LIDOCAINE 4 % TOPICAL CREAM

Payers reporting HCPCS A6250

Payer pricing summary

Low

Average

$186

Median

$58

High

$1.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Medicare other · both · +3 other terms	3	$15	$16	$23	145%	3–30	$0 – $66
2	Aetna fee schedule · outpatient · +21 other terms	95	$0	$14	$67	489%	—	$0 – $813
3	UnitedHealthcare fee schedule · outpatient · +18 other terms	42	$62	$72	$90	125%	—	$4 – $813
4	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	33	$46	$46	$43	92%	—	$0 – $136
5	MultiPlan fee schedule · inpatient · +14 other terms	24	$100	$110	$72	66%	—	$10 – $275
6	Oscar facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms	23	$77	$95	$85	89%	—	$3 – $213
7	Humana fee schedule · outpatient · +15 other terms	19	$53	$38	$57	150%	—	$0 – $186
8	Healthcare Highways facility · percent of total billed charges · bothfrom % of charges	17	$50	$59	$87	148%	—	$1 – $410
9	Medcost percent of total billed charges · bothfrom % of charges · +3 other terms	16	$33	$85	$135	159%	—	$31 – $537
10	Medica fee schedule · outpatient · +10 other terms	16	$81	$81	$49	60%	—	$4 – $163
11	Anthem facility · case rate · outpatient · +14 other terms	15	$15	$17	$4	23%	—	$10 – $26
12	Caresource facility · case rate · outpatient · +8 other terms	15	$16	$17	$4	23%	—	$10 – $27
13	Molina facility · case rate · outpatient · +14 other terms	15	$15	$17	$4	23%	—	$11 – $26
14	Phcs fee schedule · inpatient · +8 other terms	15	$86	$97	$64	66%	—	$10 – $259
15	Wellmark fee schedule · both · +5 other terms	13	$3	$4	$3	92%	—	$3 – $24
16	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$13	$8	$7	81%	—	$0 – $16
17	Beechstreet percent of total billed charges · bothfrom % of charges · +1 other terms	11	$826	$845	$266	32%	—	$501 – $1.3k
18	Highmark facility · fee schedule · outpatient · +6 other terms	11	$35	$33	$19	57%	—	$12 – $94
19	Optum facility · case rate · outpatient · +9 other terms	11	$14	$16	$4	22%	—	$13 – $24
20	Cigna professional · fee schedule · outpatient · +19 other terms	10	$20	$20	—	—	—	$20 – $20
21	Clover facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	10	$10	$10	$5	45%	—	$6 – $15
22	Bcbs Il professional · fee schedule · both · +1 other terms	8	$6	$7	$11	151%	—	$0 – $24
23	Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms	8	$5	$5	$1	16%	—	$5 – $10
24	Bcbs Pa facility · percent of total billed charges · outpatientfrom % of charges	8	$8	$9	$5	56%	—	$3 – $23
25	First Health professional · fee schedule · both · +12 other terms	8	$0	$0	$0	50%	—	$0 – $0

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