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NDC 7144902411

LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE (SO)

Reported by 14 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

$20

Average

$65

Median

$41

High

$180

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$23$31$31$86—
2Catholic Health Initiatives ColoradoColorado Springs, CO$25$180$180$86—
3St Francis HospitalColorado Springs, CO$23$180$180$83—
4Longmont United HospitalLongmont, CO$23$33$33$88—
5Catholic Health Initiatives ColoradoFrisco, CO$26$24$37$90$18
6Commonspirit Kansas, Inc.Ulysses, KS$34$77$77$93—
7Commonspirit Kansas, Inc.Dodge City, KS$34$77$77$88—
8Catholic Health Initiatives ColoradoPueblo, CO$27$44$44$86—
9Catholic Health Initiatives ColoradoFort Morgan, CO$31$70$70$95—
10Catholic Health Initiatives ColoradoDurango, CO$26$5$20$88$21
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