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 in 5% dextrose inj per 1 mg
Boulder, CO
See all hospitals reporting HCPCS J2002 →Price type
Boulder Community Health’s median price of $82 is 770% above the median hospital's median price ($9), higher than 89% 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: 9 payers, 24 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 | Aetna medicare advantage professional · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Cigna commercial facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Cigna commercial professional · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 4 | UnitedHealthcare commercial professional · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Aetna commercial professional · fee schedule · both | $0 | $0 | $0 | 50% | — | $0 – $0 |
| 7 | Humana medicare advantage professional · fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | $3 | 9% | — | $26 – $33 |
| 9 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $31 | $31 | $2 | 5% | — | $29 – $33 |
| 10 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $42 | $42 | $2 | 5% | — | $39 – $44 |
| 11 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $42 | $42 | $2 | 5% | — | $39 – $44 |
| 12 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $40 | $44 | $14 | 31% | — | $29 – $78 |
| 13 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $48 | $48 | $3 | 5% | — | $45 – $50 |
| 14 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $50 | $50 | $3 | 5% | — | $47 – $52 |
| 15 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | $3 | 5% | — | $47 – $52 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $35 | $54 | $32 | 60% | — | $26 – $105 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $61 | $62 | $19 | 31% | — | $41 – $85 |
| 18 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $72 | $72 | $4 | 5% | — | $68 – $75 |
| 19 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $74 | $76 | $33 | 44% | — | $41 – $114 |
| 20 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $86 | $86 | $5 | 5% | — | $81 – $90 |
| 21 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $86 | $86 | $5 | 5% | — | $81 – $90 |
| 22 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | $5 | 5% | — | $82 – $92 |
| 23 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | $5 | 5% | — | $82 – $92 |
| 24 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $99 | $99 | $5 | 5% | — | $94 – $105 |
Last updated: Sep 16, 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.