NDC 115146845
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
lidocaine-prilocaine 2.5 -2.5 Cream 30 gm
Reported by 3 hospitals in the network under the case rate methodology.
Low
$45
Average
$76
Median
$45
High
$139
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Oro Valley Hospital LLC Tucson, AZ | $45 | $45 | — | — | — | $6 – $45 |
| 2 | Northwest Hospital LLC Tucson, AZ | $45 | $45 | — | — | — | $6 – $45 |
| 3 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $139 | $139 | — | — | — | $23 – $139 |
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