NDC 121495040
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 VISCOUS HCL 2 MOUTH THROAT SOLN
Reported by 3 hospitals in the network under the case rate methodology.
Low
$0
Average
$8
Median
$0
High
$24
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $24 | $24 | — | — | — | $4 – $24 |
| 2 | Allina Health Systems Paul, MN | $0 | $0 | — | — | — | $0 – $41 |
| 3 | Allina Health Systems Minneapolis, MN | $0 | $0 | — | — | — | $0 – $35 |
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