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NDC 1088500210

LIDOCAINE 70 MG-TETRACAINE 70 MG PATCH, MEDICATED SELF-HEATING

Reported by 20 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

$33

Average

$44

Median

$44

High

$58

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$17$34$37$63$15
2Catholic Health Initiatives ColoradoSalt Lake City, UT$26$39$44$72$13
3Catholic Health Initiatives ColoradoColorado Springs, CO$19$36$42$63$14
4Catholic Health Initiatives ColoradoLehi, UT$26$39$44$72$13
5St Francis HospitalColorado Springs, CO$17$33$35$61$13
6Longmont United HospitalLongmont, CO$17$29$35$65$15
7Catholic Health Initiatives ColoradoFrisco, CO$19$43$47$66$15
8Commonspirit Kansas, Inc.Ulysses, KS$23$60$50$68$19
9Commonspirit Kansas, Inc.Dodge City, KS$25$58$55$65$10
10Catholic Health Initiatives ColoradoPueblo, CO$20$42$42$63$15
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