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NDC 55741040202

55741-0402-02 - dibucaine topical 1 Ointment

Reported by 3 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

Low

$29

Average

$94

Median

$84

High

$168

Hospitals reporting this code

#HospitalLocation
1St. Joseph Health System, LLCIN 46802, IN$20$84$84$84—
2Vicksburg Healthcare LLCVicksburg, MS$32$175$168$233$69
3Triad of Alabama LLCAL 36305, AL$29$29$29$29—

Look up this code directly

Ask Claude or any MCP client for NDC 55741040202 pricing at a specific hospital — see how to connect.

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