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NDC 00409317801

LIDOCAINE 1 W/EPINEPHR 20ML MDV

Reported by 24 hospitals in the network under the other methodology.

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.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 1,773–3,573 billing samples across every hospital reporting.

Low

$2

Average

$22

Median

$18

High

$43

Hospitals reporting this code

#HospitalLocationApproximate 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.
1Fairview Health ServicesMinneapolis, MN$25$40$57354–786$0$45
2Memorial Hospital of Laramie CountyCheyenne, WY$31$31$6350–359$33$43
3Fairview Health ServicesBurnsville, MN$18$18$5168–294$0$45
4Fairview Health ServicesEdina, MN$24$27$9128–290$0$45
5Fairview Health ServicesWyoming, MN$21$22$8135–261$0$49
6HealthEast St John's HospitalMaplewood, MN$18$12$10100–280$0$45
7Northside Hospital, Inc.Atlanta, GA$51$43$21160–214$15$95
8Fairview Health ServicesPrinceton, MN$20$21$7105–213$0$49
9HealthEast Woodwinds HospitalWoodbury, MN$20$26$1069–186$0$45
10Northside Hospital, Inc.Lawrenceville, GA$50$42$2254–108$14$95
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