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NDC 55150016830

55150-0168-30 - bupivacaine 0.25 preservative-fre

Reported by 55 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 1,752–3,903 billing samples across every hospital reporting.

Low

$0

Average

$31

Median

$7

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.
1Northside Hospital, Inc.Atlanta, GA$15$24$25732–741$0$95
2Fairview Health ServicesPrinceton, MN$4$10$1184–597$0$40
3Northside Hospital, Inc.Canton, GA$14$23$25287–296$0$95
4Fairview Health ServicesBurnsville, MN$20$22$1066–462$0$50
5Fairview Health ServicesMinneapolis, MN$24$29$1634–340$0$50
6Northside Hospital, Inc.Duluth, GA$14$22$25158–167$0$95
7Northside Hospital, Inc.Cumming, GA$13$23$25153–171$0$95
8Fairview Health ServicesEdina, MN$5$8$724–240$0$20
9HealthEast St John's HospitalMaplewood, MN$2$2$123–230$0$3
10Fairview Health ServicesWyoming, MN$23$30$1223–230$0$50
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Look up this code directly

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