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 4 hospitals in the network under the fee schedule methodology.
Low
$6
Average
$23
Median
$20
High
$46
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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 | $24 | $24 | — | — | — | $3 – $24 |
| 2 | Doylestown Hospital Doylestown, PA | $6 | $6 | — | — | — | $2 – $6 |
| 3 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $46 | $46 | — | — | — | $8 – $46 |
| 4 | Central Vermont Medical Center Inc Berlin, VT | $17 | $17 | $1 | 3% | — | $9 – $17 |
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