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NDC 55150016330

lidocaine 1 Soln-Inj PF 30 mL

Reported by 10 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$12

Average

$453

Median

$52

High

$3.4k

Hospitals reporting this code

#HospitalLocationApproximate 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.
1Northwest Sahurita Hospital LLCTucson, AZ$52$52——$7$52
2Northwest Sahurita Hospital LLCSahuarita, AZ$52$52——$7$52
3Oro Valley Hospital LLCTucson, AZ$52$52——$8$52
4Northwest Hospital LLCTucson, AZ$52$52——$8$52
5University of Arkansas for Medical SciencesLittle Rock, AR$887$887——$0$887
6The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of PennsylvaniaPhiladelphia, PA$14$12$5—$0$14
7Pennsylvania Hospital of the University of Pennsylvania Health SystemPhiladelphia, PA$14$14——$2$14
8Lancaster General HealthLancaster, PA$4$3.4k$5.8k—$0$13.5k
9Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical CenterPhiladelphia, PA$14$13$4—$0$14
10The Chester County HospitalWest Chester, PA$14$14——$3$14

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