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 soln 2 (15 mL) XYLOCAINE - 1
Reported by 3 hospitals in the network under the other methodology.
Low
$14
Average
$16
Median
$15
High
$17
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | USC Arcadia Hospital Arcadia, CA | $14 | $14 | $2 | 13% | 1–10 | $8 – $24 |
| 2 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $24 | $17 | $8 | 47% | — | $3 – $24 |
| 3 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $9 | $15 | $13 | 85% | — | $8 – $46 |
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