NDC 168035756
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 2 5 2 5 EX KIT
Low
$68
Average
$207
Median
$224
High
$312
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $149 | $149 | — | — | — | $17 – $149 |
| 2 | Allina Health Systems Ulm, MN | $67 | $68 | $3 | 5% | — | $30 – $147 |
| 3 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA | $299 | $299 | — | — | — | $53 – $299 |
| 4 | Parrish Medical Center TITUSVILLE, FL | $373 | $312 | $132 | 42% | — | $4 – $392 |
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