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NDC 70092113544

Lidocaine-Epinephrine-Tetracaine Gel 4-0.05-0.5%,Lidocaine HCl-Racepinephrine-Tetracaine HCl Gel 4-0.05-0.5%

Reported by 62 hospitals in the network.

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.

National pricing summary

Based on 6,003–6,867 billing samples across every hospital reporting.

Low

$5

Average

$43

Median

$36

High

$84

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.
1The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$33$34$17929–992$7$61
2The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$32$34$17864–918$9$63
3Carolinas Medical CenterCharlotte, NC$34$37$14715–796$14$59
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$33$34$16645–699$8$63
5North Carolina Baptist HospitalWinston Salem, NC$37$49$25568–622$19$101
6North Carolina Baptist HospitalBermuda Run, NC$37$49$25568–622$19$101
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$33$34$17445–499$7$64
8Atrium Health Hospitals IncShelby, NC$36$36$16334–388$9$63
9Carolinas Medical CenterCharlotte, NC$30$34$15296–377$14$61
10High Point Regional HealthHigh Point, NC$46$50$27299–326$16$107
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Look up this code directly

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