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NDC 1747871110

LIDOCAINE HCL 2 % MUCOSAL JELLY

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

$14

Average

$20

Median

$19

High

$32

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$7$15$17$26$8
2Catholic Health Initiatives ColoradoSalt Lake City, UT$11$16$19$30$5
3Catholic Health Initiatives ColoradoColorado Springs, CO$8$15$26$26$37
4Catholic Health Initiatives ColoradoLehi, UT$11$16$18$30$5
5St Francis HospitalColorado Springs, CO$7$14$22$25$34
6Longmont United HospitalLongmont, CO$7$13$16$27$8
7Catholic Health Initiatives ColoradoFrisco, CO$8$21$21$27$9
8Commonspirit Kansas, Inc.Ulysses, KS$10$25$23$28$14
9Commonspirit Kansas, Inc.Dodge City, KS$10$24$32$27$20
10Catholic Health Initiatives ColoradoPueblo, CO$8$17$20$26$9
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