NDC 54162-0011-01
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
Nupercainal Dibucaine Top 1% Ointment 28GM [CRHS]
Reported by 62 hospitals in the network under the percent of billed charges methodology.
Low
$1
Average
$9
Median
$4
High
$67
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 62 hospitals; the 90th percentile is 50.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Columbus Regional Healthcare System, Inc Whiteville, NC | $3 | $3 | $1 | 47% | 481–517 | $1 – $4 |
| 2 | IOM Health System LP Fort Wayne, IN | $10 | $11 | $4 | 37% | — | $5 – $18 |
| 3 | Bluffton Health System LLC Bluffton, IN | $7 | $7 | $2 | 34% | — | $3 – $11 |
| 4 | Dukes Health System LLC Peru, IN | $16 | $17 | $5 | 30% | — | $5 – $29 |
| 5 | Warsaw Health System LLC Warsaw, IN | $18 | $18 | $6 | 34% | — | $7 – $29 |
| 6 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $6 | $6 | $2 | 35% | — | $3 – $12 |
| 7 | St. Joseph Health System, LLC Wayne, IN | $17 | $19 | $7 | 37% | — | $7 – $31 |
| 8 | Dupont Hospital LLC Wayne, IN | $9 | $10 | $4 | 37% | — | $4 – $16 |
| 9 | Durant HMA LLC Durant, OK | $8 | $6 | $3 | 42% | — | $1 – $9 |
| 10 | Northwest Sahurita Hospital LLC Tucson, AZ | $1 | $1 | $1 | 57% | — | $1 – $6 |
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