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
lidocaine (PF) 4 mg/mL (0.4 %) in 5 % dextrose intravenous solution
Buda, TX
See all hospitals reporting HCPCS J2002 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $25 is 165% above the median hospital's median price ($9), higher than 61% of the 1,856 hospitals reporting HCPCS J2002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $0 | 7% | — | $5 – $6 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $0 | 7% | — | $5 – $6 |
| 3 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges | $20 | $20 | $1 | 7% | — | $19 – $22 |
| 4 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $1 | 7% | — | $19 – $22 |
| 5 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $1 | 7% | — | $19 – $22 |
| 6 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $1 | 7% | — | $19 – $22 |
| 7 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $1 | 7% | — | $19 – $22 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $22 | $22 | $1 | 7% | — | $21 – $24 |
| 9 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges | $24 | $24 | $2 | 7% | — | $22 – $25 |
| 10 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $24 | $24 | $2 | 7% | — | $22 – $25 |
| 11 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $24 | $24 | $2 | 7% | — | $23 – $26 |
| 12 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $24 | $24 | $2 | 7% | — | $23 – $26 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | $2 | 7% | — | $23 – $26 |
| 14 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | $2 | 7% | — | $24 – $27 |
| 15 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | $2 | 7% | — | $27 – $31 |
| 16 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | $2 | 7% | — | $27 – $31 |
| 17 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $32 | $32 | $2 | 7% | — | $29 – $34 |
| 18 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $32 | $32 | $2 | 7% | — | $29 – $34 |
| 19 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $32 | $32 | $2 | 7% | — | $29 – $34 |
Last updated: Jun 13, 2026
See Intravenous lidocaine infusion in dextrose solution pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.