Intravenous lidocaine infusion in dextrose solution at Astera Health

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.

Model: claude-haiku-5-5
Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LIDOCAINE IN 5 % DEXTROSE (PF) 4 MG/ML (0.4 %) IV SOLP

Wadena, MN

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How this price compares nationally

Astera Health’s median price of $71 is 694% above the median hospital's median price ($9), higher than 87% of the 1,843 hospitals reporting HCPCS J2002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2002 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 34 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	Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
2	Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
3	Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
4	Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges	$40	$40	—	—	—	$40 – $40
5	Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges	$40	$40	—	—	—	$40 – $40
6	Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
7	Blue Cross Blue Shield bcbs high value network fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
8	Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
9	Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
10	Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
11	Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
12	Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
13	Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
14	UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
15	Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
16	Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
17	Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
18	Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
19	UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
20	Medica medica [100341] percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75
21	MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
22	MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
23	Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
24	Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
25	Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges	$86	$86	—	—	—	$86 – $86

Page 1 of 2 · 34 rates

Last updated: Feb 20, 2026

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