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NDC 9999910653

LIDOCAINE 4% WITH EPINEPHRINE TOPICAL SOLUTION

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

$106

Average

$139

Median

$139

High

$183

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$109$119$47—$54$201
2Catholic Health Initiatives ColoradoSalt Lake City, UT$124$141$41—$82$229
3Catholic Health Initiatives ColoradoColorado Springs, CO$114$132$46—$62$201
4Catholic Health Initiatives ColoradoLehi, UT$124$140$41—$82$229
5St Francis HospitalColorado Springs, CO$104$111$41—$54$195
6Longmont United HospitalLongmont, CO$92$112$49—$54$206
7Catholic Health Initiatives ColoradoFrisco, CO$137$151$49—$62$211
8Commonspirit Kansas, Inc.Ulysses, KS$191$160$61—$73$217
9Commonspirit Kansas, Inc.Dodge City, KS$183$176$32—$80$206
10Catholic Health Initiatives ColoradoPueblo, CO$133$135$46—$63$201
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Look up this code directly

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