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
Macon, GA
See all hospitals reporting HCPCS J2002 →Price type
Central Georgia Rehabilitation LLC’s median price of $62 is 558% above the median hospital's median price ($9), higher than 85% 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: 11 payers, 25 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 | Aetna medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Caresource medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Clover medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Humana medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $36 | $35 | $4 | 12% | — | $29 – $40 |
| 8 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $48 | $47 | $6 | 12% | — | $38 – $53 |
| 9 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $52 | $51 | $6 | 12% | — | $42 – $58 |
| 10 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $57 | $56 | $7 | 12% | — | $45 – $64 |
| 11 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $61 | $60 | $7 | 12% | — | $49 – $68 |
| 12 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $70 | $69 | $8 | 12% | — | $56 – $79 |
| 13 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $70 | $69 | $8 | 12% | — | $56 – $79 |
| 14 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $77 | $76 | $9 | 12% | — | $62 – $87 |
| 15 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $77 | $76 | $9 | 12% | — | $62 – $87 |
| 16 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $77 | $76 | $9 | 12% | — | $62 – $87 |
| 17 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $77 | $76 | $9 | 12% | — | $62 – $87 |
| 18 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $77 | $76 | $9 | 12% | — | $62 – $87 |
| 19 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $78 | $77 | $9 | 12% | — | $63 – $88 |
| 20 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $82 | $80 | $10 | 12% | — | $65 – $92 |
| 21 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $82 | $81 | $10 | 12% | — | $66 – $92 |
| 22 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $95 | $93 | $11 | 12% | — | $76 – $107 |
| 23 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $95 | $93 | $11 | 12% | — | $76 – $107 |
| 24 | Beechstreet commercial percent of total billed charges · inpatientfrom % of charges | $111 | $109 | $13 | 12% | — | $88 – $124 |
| 25 | Beechstreet commercial percent of total billed charges · outpatientfrom % of charges | $111 | $109 | $13 | 12% | — | $88 – $124 |
Last updated: Nov 19, 2025
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.