NDC 168035705
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-Prilocaine Cream 2.5-2.5%
Reported by 11 hospitals in the network under the other methodology.
Based on 62–98 billing samples across every hospital reporting.
Low
$5
Average
$40
Median
$24
High
$139
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 11 hospitals; the 90th percentile is 6.0× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Sanford Luverne Medical Center | Luverne, MN | $32 | $32 | — | 46 | $6 | $32 |
| 2 | Sanford Thief River Falls Medical Center | Thief River Falls, MN | $5 | $5 | — | 12 | $5 | $34 |
| 3 | Sanford Medical Center Bismarck | Bismarck, ND | $22 | $22 | — | 1–10 | $5 | $22 |
| 4 | Sanford USD Medical Center | Sioux Falls, SD | $139 | $139 | — | 1–10 | $1 | $139 |
| 5 | Sanford Aberdeen Medical Center | Aberdeen, SD | $86 | $86 | — | 1–10 | $7 | $86 |
| 6 | Sanford Canby Medical Center | Canby, MN | $51 | $51 | — | 1–10 | $6 | $51 |
| 7 | Allina Health Systems | Shakopee, MN | $14 | $14 | $3 | — | $0 | $49 |
| 8 | Allina Health Systems | Cambridge, MN | $25 | $24 | $11 | — | $0 | $49 |
| 9 | Allina Health Systems | Owatonna, MN | $25 | $24 | $11 | — | $0 | $49 |
| 10 | Allina Health Systems | Ulm, MN | $22 | $25 | $7 | — | $9 | $45 |
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