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NDC 00168-0357-05

LIDOCAINE-PRILOCAINE 2.5-2.5 % TOP CREA

Reported by 19 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$4

Average

$110

Median

$36

High

$1.2k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$24$185$179$350$112
2Northwestern Memorial HospitalChicago, IL$11$145$153$350$110
3Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$10$25$28$52$11
4Northwestern Medicine Delnor HospitalGeneva, IL$28$121$112$188$47
5Palos Community HospitalPalos Heights, IL$7$29$29$45$14
6Portland Adventist Medical CenterPortland, OR$284$999$1.2k$3.0k$628
7White Memorial Medical CenterAngeles, CA$17$53$58$248$37
8St Josephs Hospital Health CenterSyracuse, NY$2$5$5$7$1
9MaineHealthBrunswick, ME$25$29$30$33$3
10Piedmont Columbus Regional - MidtownColumbus, GA$9$40$36$53$15
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