NDC 00409-1041-30
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
mepivacaine 1.5 15 mg/mL (1.5 ) Soln 30 mL VIAL
Reported by 11 hospitals in the network under the other methodology.
Low
$13
Average
$23
Median
$26
High
$27
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 11 hospitals; the 90th percentile is 2.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Allina Health Systems | Buffalo, MN | $6 | $13 | $15 | — | $0 | $59 |
| 2 | Allina Health Systems | Faribualt, MN | $6 | $13 | $15 | — | $0 | $59 |
| 3 | Allina Health Systems | River Falls, WI | $19 | $19 | $10 | — | $4 | $59 |
| 4 | Baptist Healthcare System Inc. | Louisville, KY | $20 | $27 | $9 | — | $2 | $39 |
| 5 | Baptist Healthcare System Inc | Lexington, KY | $20 | $27 | $10 | — | $2 | $39 |
| 6 | Baptist Healthcare System Inc | Grange, KY | $20 | $27 | $9 | — | $2 | $39 |
| 7 | Baptist Healthcare System Inc | Paducah, KY | $20 | $27 | $9 | — | $2 | $39 |
| 8 | Baptist Healthcare System Inc | Richmond, KY | $19 | $25 | $8 | — | $2 | $37 |
| 9 | Baptist Healthcare System Inc | Corbin, KY | $20 | $27 | $9 | — | $2 | $39 |
| 10 | Baptist Healthcare System Inc | Elizabethtown, KY | $20 | $26 | $9 | — | $2 | $39 |
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