NDC 38779-0082-04
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 HCL MONOHYDRATE POWD
Low
$42
Average
$135
Median
$42
High
$321
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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 | $321 | $321 | — | — | — | $36 – $321 |
| 2 | Westchester Medical Center Valhalla, NY | $42 | $42 | — | — | — | $13 – $42 |
| 3 | Mid Hudson Regional Hospital Poughkeepsie, NY | $42 | $42 | — | — | — | $13 – $42 |
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