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
BUPIVACAINE-MELOXICAM ER 200 MG-6 MG/7 ML SURGICAL SITE INSTILL SOLN
Low
$1
Average
$1
Median
$1
High
$2
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 2.1× 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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26 hospital rates
iThe hospitals that file a Highmark 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 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $1 | $1 | $0 | 31% | — | $1 – $2 |
| 3 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 35% | — | $1 – $2 |
| 4 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 3 | $1 | $1 | $0 | 27% | — | $1 – $2 |
| 10 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $1 | $1 | $0 | 37% | — | $1 – $2 |
| 11 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | UPMC Hamot Erie, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | UPMC Hamot Erie, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2 | $2 | $0 | 23% | — | $1 – $2 |
| 14 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 16 | UPMC McKeesport Mckeesport, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | UPMC McKeesport Mckeesport, PA facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 18 | UPMC Mercy Pittsburgh, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | UPMC Mercy Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1 | $1 | $0 | 3% | — | $1 – $2 |
| 20 | UPMC Passavant - McCandless Cranberry Township, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | UPMC Passavant - McCandless Cranberry Township, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $1 | $2 | $1 | 30% | — | $1 – $3 |
| 22 | UPMC Presbyterian Pittsburgh, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | UPMC Presbyterian Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $2 | $2 | $1 | 31% | — | $2 – $4 |
| 24 | UPMC Western Psychiatric Hospital Pittsburgh, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | UPMC Western Psychiatric Hospital Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS J0668 · Snapshot 20261111T120946Z-9134e7f7