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 2% (Viscous) oral Sol 15 mL [CITY]
Reported by 36 hospitals in the network under the percent of billed charges methodology.
Low
$2
Average
$19
Median
$19
High
$52
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 36 hospitals; the 90th percentile is 17.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Tri-City Medical Center Oceanside, CA | $17 | $22 | $10 | 45% | 460–478 | $7 – $38 |
| 2 | Sanford Fargo Medical Center Fargo, ND | $10 | $9 | $3 | 33% | — | $4 – $13 |
| 3 | Sanford Sheldon Medical Center Sheldon, IA | $8 | $8 | $3 | 33% | — | $4 – $11 |
| 4 | Sanford Tracy Hospital Tracy, MN | $12 | $10 | $3 | 27% | — | $3 – $13 |
| 5 | Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital DENVER, CO | $52 | $51 | $22 | 43% | — | $17 – $91 |
| 6 | St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital JUNCTION, CO | $45 | $39 | $9 | 23% | — | $19 – $52 |
| 7 | Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital WHEAT RIDGE, CO | $52 | $51 | $21 | 42% | — | $17 – $91 |
| 8 | Good Samaritan Medical Center, Llc Dba LAFAYETTE, CO | $52 | $52 | $21 | 41% | — | $17 – $91 |
| 9 | Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital CITY, MT | $47 | $47 | $4 | 9% | — | $25 – $52 |
| 10 | USC Arcadia Hospital Arcadia, CA | $19 | $18 | $5 | 27% | — | $8 – $24 |
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