Lidocaine 1% Vial (50 Ml) at Springfield Hospital

Springfield, VT

Pricing by billing methodology

Price type

Payers reporting CPT 52760 at Springfield Hospital

Negotiated rates from the hospital’s own file: 7 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Anthem anthem exchange fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
2	Anthem medicare advantage fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
3	UnitedHealthcare medicare advantage fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
4	WellCare medicare advantage fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
5	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
6	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
7	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
8	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
9	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
10	Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
11	Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45

Last updated: Aug 27, 2026

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