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NDC 1671409701

LIDOCAINE HCL 2 % MUCOSAL SOLUTION

Reported by 14 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$16

Average

$65

Median

$41

High

$180

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$11$31$31$40—
2Catholic Health Initiatives ColoradoColorado Springs, CO$12$180$180$40—
3St Francis HospitalColorado Springs, CO$11$180$180$39—
4Longmont United HospitalLongmont, CO$11$33$33$41—
5Catholic Health Initiatives ColoradoFrisco, CO$12$24$37$42$18
6Commonspirit Kansas, Inc.Ulysses, KS$37$77$77$44—
7Commonspirit Kansas, Inc.Dodge City, KS$16$77$77$41—
8Catholic Health Initiatives ColoradoPueblo, CO$13$44$44$40—
9Catholic Health Initiatives ColoradoFort Morgan, CO$15$70$70$45—
10Catholic Health Initiatives ColoradoDurango, CO$14$5$16$41$19
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