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NDC 55150016330

55150-0163-30 - lidocaine 1 preservative-free Sol

Reported by 41 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 1,867–2,137 billing samples across every hospital reporting.

Low

$1

Average

$62

Median

$15

High

$730

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.
1Bexar County Hospital DistrictSan Antonio, TX$3$6$81,380–1,416$1$62
2The University of Texas Southwestern Medical Center at DallasDallas, TX$14$14—114$0$9
3Sanford Fargo Medical CenterFargo, ND$5$5$499–108$0$1
4Carolinas Medical CenterCharlotte, NC$10$10—92$5$19
5The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$11$11—71$3$20
6Carolinas Medical CenterCharlotte, NC$10$7$451–69$5$20
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$9$9—37$2$21
8Naples HMA LLCNaples, FL$30$28$74–40$5$30
9Naples HMA LLCNaples, FL$30$28$74–40$5$30
10The Charlotte Mecklenburg Hospital AuthorityConcord, NC$10$10—2–20$3$20
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