Lidocaine and tetracaine numbing patch

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

Patch, lidocaine/tetracaine

Payers reporting HCPCS C9285

Payer pricing summary

Low

Average

$35

Median

$31

High

$126

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +11 other terms	181	$32	$53	$38	71%	—	$16 – $148
2	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	73	$23	$32	$29	88%	—	$1 – $110
3	Aetna fee schedule · outpatient · +11 other terms	63	$24	$39	$24	62%	—	$16 – $176
4	Anthem fee schedule · outpatient · +6 other terms	36	$20	$29	$13	44%	—	$17 – $80
5	UnitedHealthcare facility · case rate · outpatient · +9 other terms	16	$49	$52	$12	23%	—	$33 – $82
6	Caresource facility · case rate · outpatient · +2 other terms	15	$48	$52	$12	23%	—	$32 – $82
7	Molina facility · case rate · outpatient · +5 other terms	15	$47	$52	$12	23%	—	$33 – $80
8	Wellmark fee schedule · outpatient	13	$17	$17	—	—	—	$17 – $17
9	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$44	$30	$23	76%	—	$1 – $55
10	Bcbs Nj fee schedule · outpatient	12	$17	$17	—	—	—	$17 – $17
11	Highmark fee schedule · outpatient · +3 other terms	12	$19	$20	$8	39%	—	$17 – $98
12	Optum facility · case rate · outpatient	11	$45	$49	$11	22%	—	$40 – $73
13	Ucare fee schedule · both	9	$14	$14	—	—	—	$14 – $14
14	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$17	$17	—	—	—	$17 – $17
15	Bcbs La fee schedule · outpatient · +1 other terms	6	$18	$18	—	—	—	$18 – $18
16	Phcs percent of total billed charges · inpatientfrom % of charges · +3 other terms	6	$27	$27	—	—	—	$27 – $27
17	WellCare percent of total billed charges · outpatientfrom % of charges · +1 other terms	6	$4	$4	$0	6%	—	$3 – $4
18	Humana fee schedule · inpatient · +4 other terms	5	$16	$16	—	—	—	$16 – $16
19	First Health facility · fee schedule · outpatient · +5 other terms	4	$51	$51	—	—	—	$51 – $51
20	Medicaid case rate · outpatient	4	$72	$71	$23	32%	—	$45 – $95
21	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$20	$20	—	—	—	$20 – $20
22	Bcbs Sc fee schedule · outpatient	3	$24	$24	—	—	—	$24 – $24
23	Kaiser fee schedule · outpatient · +1 other terms	2	$61	$61	$24	40%	—	$36 – $85
24	Oscar percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$36	$36	—	—	—	$36 – $36
25	Sanford Health Plan facility · fee schedule · outpatient	2	$17	$17	—	—	—	$17 – $17

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