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NDC 76329301105

76329-3011-05 - lidocaine uro-jet 2 Gel-App 5 mL

Reported by 73 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

Low

$10

Average

$391.4k

Median

$21

High

$28571.5k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$28$54$60$101$22
2Bluffton Health System LLCBluffton, IN$18$47$46$69$16
3Dukes Health System LLCPeru, IN$24$59$63$131$29
4Warsaw Health System LLCWarsaw, IN$19$52$52$84$18
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$24$49$53$101$19
6St. Joseph Health System, LLCIN 46802, IN$16$40$28571.5k$66$166598.6k
7Dupont Hospital LLCIN 46825, IN$16$34$37$60$14
8Durant HMA LLCDurant, OK$15$79$66$95$28
9Naples HMA LLCNaples, FL$6$16$19$34$11
10Naples HMA LLCFL 34114, FL$6$19$19$34$11
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