NDC 409469801
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 4 Soln-Top 4 mL
Reported by 4 hospitals in the network under the case rate methodology.
Low
$85
Average
$85
Median
$85
High
$85
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | 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 | Northwest Sahurita Hospital LLC | Tucson, AZ | $77 | $85 | $14 | — | $20 | $104 |
| 2 | Northwest Sahurita Hospital LLC | Sahuarita, AZ | $77 | $85 | $14 | — | $20 | $104 |
| 3 | Oro Valley Hospital LLC | Tucson, AZ | $77 | $85 | $14 | — | $21 | $132 |
| 4 | Northwest Hospital LLC | Tucson, AZ | $77 | $85 | $14 | — | $21 | $132 |
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