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NDC 1671487801

LIDOCAINE 5 % TOPICAL OINTMENT

Reported by 20 hospitals in the network.

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.

National pricing summary

Low

$120

Average

$166

Median

$167

High

$223

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$65$131$143$242$56
2Catholic Health Initiatives ColoradoSalt Lake City, UT$98$149$169$274$50
3Catholic Health Initiatives ColoradoColorado Springs, CO$74$137$158$242$55
4Catholic Health Initiatives ColoradoLehi, UT$98$148$168$274$50
5St Francis HospitalColorado Springs, CO$65$125$134$233$50
6Longmont United HospitalLongmont, CO$65$110$134$247$59
7Catholic Health Initiatives ColoradoFrisco, CO$74$165$181$252$58
8Commonspirit Kansas, Inc.Ulysses, KS$88$229$194$283$75
9Commonspirit Kansas, Inc.Dodge City, KS$96$220$214$283$42
10Catholic Health Initiatives ColoradoPueblo, CO$76$159$161$242$55
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Look up this code directly

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