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
00115-1468-45 - lidocaine-prilocaine topical 2.5 -
Reported by 11 hospitals in the network under the other methodology.
Low
$6
Average
$89
Median
$23
High
$346
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 11 hospitals; the 90th percentile is 26.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Joseph Health System, LLC Wayne, IN | $80 | $80 | — | — | — | $19 – $80 |
| 2 | Oro Valley Hospital LLC Tucson, AZ | $14 | $17 | $5 | 31% | — | $6 – $45 |
| 3 | Northwest Hospital LLC Tucson, AZ | $14 | $17 | $5 | 32% | — | $6 – $45 |
| 4 | Metro Knoxville HMA LLC Knoxville, TN | $10 | $10 | — | — | — | $5 – $17 |
| 5 | Metro Knoxville HMA LLC Powell, TN | $10 | $10 | — | — | — | $5 – $24 |
| 6 | Triad of Alabama LLC Dothan, AL | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Affinity Hospital LLC Birmingham, AL | $280 | $280 | $70 | 25% | — | $53 – $350 |
| 8 | Gadsden Regional Medical Center LLC Gadsden, AL | $346 | $346 | — | — | — | $346 – $346 |
| 9 | Knox Hospital Company LLC Knox, IN | $23 | $23 | — | — | — | $23 – $82 |
| 10 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $139 | $101 | $48 | 47% | — | $16 – $139 |
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