5749359_1 — Epi/lidocai/tetracai Topical 180 Mg-4000 Mg-500 Mg/100 Ml Sol [sfks]
Cite this view
HANK Price Transparency. (n.d.). epi/lidocai/tetracai topical 180 mg-4000 mg-500 mg/100 mL Sol [SFKS] (CDM 5749359_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5749359_1?code_type=CDM
“epi/lidocai/tetracai topical 180 mg-4000 mg-500 mg/100 mL Sol [SFKS] (CDM 5749359_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5749359_1?code_type=CDM. Accessed .
“epi/lidocai/tetracai topical 180 mg-4000 mg-500 mg/100 mL Sol [SFKS] (CDM 5749359_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5749359_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,594–$14,594 (25th–75th percentile) across 1 hospital · 5 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 5749359_1 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| STAFFORD COUNTY HOSPITAL Outpatient | HEALTH PARTNERS-ALL PLANS | HEALTH PARTNERS-ALL PLANS | $13,864.11 | $14,593.80 | $14,593.80 | 2026-03-11 | MRF ↗ |
| STAFFORD COUNTY HOSPITAL Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $14,593.80 | $14,593.80 | $14,593.80 | 2026-03-11 | MRF ↗ |
| STAFFORD COUNTY HOSPITAL Outpatient | VA CCN-ALL PLANS | VA CCN-ALL PLANS | $14,593.80 | $14,593.80 | $14,593.80 | 2026-03-11 | MRF ↗ |
| STAFFORD COUNTY HOSPITAL Outpatient | UHC MCR ADV-ALL PLANS | UHC MCR ADV-ALL PLANS | $14,593.80 | $14,593.80 | $14,593.80 | 2026-03-11 | MRF ↗ |
| STAFFORD COUNTY HOSPITAL Outpatient | MEDICA MCR- ALL PLANS | MEDICA MCR- ALL PLANS | $14,593.80 | $14,593.80 | $14,593.80 | 2026-03-11 | MRF ↗ |