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NDC 1747871130

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

$197

Average

$262

Median

$275

High

$336

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$107$207$213$400$109
2Catholic Health Initiatives ColoradoSalt Lake City, UT$163$246$284$455$83
3Catholic Health Initiatives ColoradoColorado Springs, CO$123$227$258$400$91
4Catholic Health Initiatives ColoradoLehi, UT$163$246$282$455$83
5St Francis HospitalColorado Springs, CO$107$207$219$386$81
6Longmont United HospitalLongmont, CO$107$182$209$409$105
7Catholic Health Initiatives ColoradoFrisco, CO$123$273$277$418$118
8Commonspirit Kansas, Inc.Ulysses, KS$145$379$306$432$129
9Commonspirit Kansas, Inc.Dodge City, KS$159$364$304$409$117
10Catholic Health Initiatives ColoradoPueblo, CO$125$230$248$400$108
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