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  5. /Percent of billed charges

NDC 05446060701

LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL

Reported by 24 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Based on 5,662–6,436 billing samples across every hospital reporting.

Low

$13

Average

$26

Median

$21

High

$46

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.
1The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$17$18$9928–982$4$33
2The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$17$19$9793–847$5$34
3Carolinas Medical CenterCharlotte, NC$19$20$8654–735$8$32
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$18$19$9597–651$4$34
5North Carolina Baptist HospitalWinston Salem, NC$20$27$14567–612$12$55
6North Carolina Baptist HospitalBermuda Run, NC$20$27$14567–612$12$55
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$18$19$9408–462$4$35
8High Point Regional HealthHigh Point, NC$25$27$15299–326$9$58
9Atrium Health Hospitals IncShelby, NC$19$19$9282–336$5$34
10Carolinas Medical CenterCharlotte, NC$18$19$8229–265$8$33
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