NDC 591207030
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
00591-2070-30 - lidocaine-prilocaine topical 2.5 -
Reported by 11 hospitals in the network under the other methodology.
Based on 1–10 billing samples across every hospital reporting.
Low
$6
Average
$95
Median
$23
High
$346
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 11 hospitals; the 90th percentile is 26.8× 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 | Location | Approximate 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. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Sanford USD Medical Center | Sioux Falls, SD | $139 | $139 | — | 1–10 | $1 | $139 |
| 2 | St. Joseph Health System, LLC | Wayne, IN | $80 | $80 | — | — | $19 | $80 |
| 3 | Oro Valley Hospital LLC | Tucson, AZ | $14 | $17 | $5 | — | $6 | $45 |
| 4 | Northwest Hospital LLC | Tucson, AZ | $14 | $17 | $5 | — | $6 | $45 |
| 5 | Metro Knoxville HMA LLC | Knoxville, TN | $10 | $10 | — | — | $5 | $17 |
| 6 | Metro Knoxville HMA LLC | Powell, TN | $10 | $10 | — | — | $5 | $24 |
| 7 | Triad of Alabama LLC | Dothan, AL | $6 | $6 | — | — | $6 | $6 |
| 8 | Affinity Hospital LLC | Birmingham, AL | $280 | $280 | $70 | — | $53 | $350 |
| 9 | Gadsden Regional Medical Center LLC | Gadsden, AL | $346 | $346 | — | — | $346 | $346 |
| 10 | Knox Hospital Company LLC | Knox, IN | $23 | $23 | — | — | $23 | $82 |
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