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 EX CREA
Reported by 4 hospitals in the network under the fee schedule methodology.
Low
$139
Average
$184
Median
$160
High
$277
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $139 | $139 | — | — | — | $16 – $139 |
| 2 | Westchester Medical Center Valhalla, NY | $160 | $160 | — | — | — | $48 – $160 |
| 3 | Mid Hudson Regional Hospital Poughkeepsie, NY | $160 | $160 | — | — | — | $48 – $160 |
| 4 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $277 | $277 | — | — | — | $50 – $277 |
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