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
Elkader, IA
See all hospitals reporting HCPCS J2002 →Price type
Central Community Hospital’s median price of $28 is 193% above the median hospital's median price ($9), higher than 65% 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, 11 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 6 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 7 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 9 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 10 | Cigna midlands choice facility · percent of total billed charges · bothfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Medica midlands choice facility · percent of total billed charges · bothfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
Last updated: Mar 31, 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.