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NDC 76329301105

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

Reported by 68 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Low

$9

Average

$27

Median

$22

High

$193

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$28$54$60$101$22
2Bluffton Health System LLCBluffton, IN$18$47$47$69$16
3Dukes Health System LLCPeru, IN$24$73$78$131$23
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$36$41$66$15
7Dupont Hospital LLCIN 46825, IN$16$34$37$60$14
8Durant HMA LLCDurant, OK$15$79$66$95$28
9Naples HMA LLCNaples, FL$6$9$12$34$6
10Naples HMA LLCFL 34114, FL$6$9$12$34$6
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