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NDC 42858011830

Lidocaine Patch 5%

Reported by 46 hospitals in the network under the percent of billed charges methodology.

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.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$2

Average

$51

Median

$3

High

$253

Hospitals reporting this code

#HospitalLocation
1Sanford Fargo Medical CenterFargo, ND$2$4$4$5$1
2Sanford Medical Center BismarckBismarck, ND$2$4$3$4$1
3Tri-City Medical CenterOceanside, CA$4$10$13$22$6
4Carolinas Medical CenterCharlotte, NC$68$157$167$279$68
5North Carolina Baptist HospitalBermuda Run, NC$108$191$253$517$129
6Carolinas Medical CenterCharlotte, NC$68$165$173$279$67
7Carolinas Medical CenterCharlotte, NC$68$155$167$285$69
8The Charlotte Mecklenburg Hospital AuthorityConcord, NC$38$155$163$295$78
9The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$31$155$161$301$80
10Atrium Health Hospitals IncShelby, NC$43$166$168$295$78
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