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  5. /Percent of billed charges

NDC 09991271400

LIDOCAINE 4% (5 ML) + BUPIVACAINE 0.75% (5 ML)

Reported by 23 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

$37

Average

$52

Median

$41

High

$97

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$37$38$19928–982$8$70
2The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$35$39$20793–847$10$72
3Carolinas Medical CenterCharlotte, NC$40$42$16654–735$16$68
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$38$40$19597–651$9$72
5North Carolina Baptist HospitalWinston Salem, NC$31$41$21567–612$17$83
6North Carolina Baptist HospitalBermuda Run, NC$31$41$21567–612$17$83
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$38$39$20408–462$8$73
8High Point Regional HealthHigh Point, NC$38$41$22299–326$13$88
9Atrium Health Hospitals IncShelby, NC$40$41$19282–336$11$72
10Carolinas Medical CenterCharlotte, NC$38$41$17229–265$16$70
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