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
HC Bupiv/Melox Soln 1/0.03mg(200/6mg Sdv)
Low
$1
Average
$1.1k
Median
$1.2k
High
$2.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 2552.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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21 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $991 | $1.0k | $273 | 27% | — | $700 – $1.3k |
| 3 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $247 | $247 | $208 | 84% | — | $39 – $455 |
| 4 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $231 | $231 | $195 | 84% | — | $36 – $427 |
| 5 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | McLeod Health Dillon, SC percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | $884 | 45% | — | $1.0k – $3.7k |
| 9 | McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $1.9k | $825 | 44% | — | $1.0k – $3.7k |
| 10 | McLeod Health Manning, SC percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | $884 | 45% | — | $1.0k – $3.7k |
| 11 | McLeod Health Florence, SC percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | $884 | 45% | — | $1.0k – $3.7k |
| 12 | McLeod Health Beach, SC percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | $884 | 45% | — | $1.0k – $3.7k |
| 13 | McLeod Health Loris, SC percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | $884 | 45% | — | $1.0k – $3.7k |
| 14 | McLeod Health River, SC percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | $884 | 45% | — | $1.0k – $3.7k |
| 15 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $832 | $832 | $262 | 31% | — | $570 – $1.1k |
| 16 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $1.1k | $1.2k | $346 | 28% | — | $855 – $1.7k |
| 17 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $1.1k | $1.2k | $346 | 28% | — | $855 – $1.7k |
| 18 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $1.1k | $1.2k | $346 | 28% | — | $855 – $1.7k |
| 19 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $1.1k | $1.2k | $346 | 28% | — | $855 – $1.7k |
| 20 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $1.1k | $1.2k | $346 | 28% | — | $855 – $1.7k |
| 21 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $832 | $832 | $262 | 31% | — | $570 – $1.1k |
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