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
LIDOCAINE 4 % TOPICAL CREAM
Low
$2
Average
$146
Median
$110
High
$400
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 38.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
11 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 2 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $413 | $413 | — | — | — | $413 – $413 |
| 3 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 4 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $12 | $12 | $1 | 4% | — | $11 – $12 |
| 5 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 6 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | $1 | 30% | — | $1 – $2 |
| 7 | Parrish Medical Center TITUSVILLE, FL facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 8 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 9 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 10 | The Children's Hospital of Alabama Birmingham, AL facility · other · inpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 11 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $40 | $260 | $374 | 144% | — | $29 – $1.1k |
← Payers reporting HCPCS A6250 · Snapshot 20261111T120946Z-9134e7f7