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NDC 9999910521

RETROBULBAR BLOCK LIDOCAINE 4 % AND BUPIVACAINE 0.75 % - COMPOUND

Reported by 20 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

$208

Average

$272

Median

$274

High

$361

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.
1Catholic Health Initiatives ColoradoColorado Springs, CO$215$234$92—$106$396
2Catholic Health Initiatives ColoradoSalt Lake City, UT$244$277$82—$161$450
3Catholic Health Initiatives ColoradoColorado Springs, CO$225$260$90—$122$396
4Catholic Health Initiatives ColoradoLehi, UT$243$275$82—$161$450
5St Francis HospitalColorado Springs, CO$205$219$81—$106$383
6Longmont United HospitalLongmont, CO$180$220$96—$106$405
7Catholic Health Initiatives ColoradoFrisco, CO$270$296$96—$122$414
8Commonspirit Kansas, Inc.Ulysses, KS$375$315$120—$144$428
9Commonspirit Kansas, Inc.Dodge City, KS$360$345$63—$158$405
10Catholic Health Initiatives ColoradoPueblo, CO$261$265$91—$124$396
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Look up this code directly

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