APC 795
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Inj, lidocaine in d5w, 1 mg
Low
$0
Average
$10
Median
$4
High
$31
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
13 payers; the 90th percentile is 3915.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 16 | — | — | — | — | — | — – — |
| 2 | Aetna fee schedule · outpatient · +2 other terms | 12 | — | — | — | — | — | — – $0 |
| 3 | Molina fee schedule · outpatient | 11 | — | — | — | — | — | — – — |
| 4 | Humana fee schedule · outpatient · +2 other terms | 8 | — | — | — | — | — | — – — |
| 5 | Anthem fee schedule · outpatient | 6 | — | — | — | — | — | — – — |
| 6 | Ambetter case rate · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Blue Cross Blue Shield case rate · outpatient · +2 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Cigna case rate · outpatient · +1 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Clover case rate · outpatient · +1 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | WellCare case rate · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Devoted facility · other · outpatient | 2 | $20 | $18 | $9 | 52% | — | $10 – $33 |
| 12 | Oscar facility · other · outpatient | 2 | $31 | $31 | $6 | 21% | — | $24 – $41 |
| 13 | Bcbs Nj facility · other · outpatient | 1 | $27 | $27 | $4 | 16% | — | $24 – $33 |
| 14 | Highmark facility · other · outpatient | 1 | $17 | $17 | $11 | 63% | — | $6 – $33 |
| 15 | Kaiser fee schedule · outpatient | 1 | — | — | — | — | — | — – — |
| 16 | Medicare case rate · outpatient | 1 | — | — | — | — | — | — – — |
| 17 | Optum facility · other · outpatient | 1 | $16 | $16 | $9 | 55% | — | $4 – $26 |
← Hospitals reporting APC 795 · Snapshot 20261111T120946Z-9134e7f7