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
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
Panguitch, UT
See all hospitals reporting HCPCS J0665 →Price type
Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital’s median price of $11 is 236% above the median hospital's median price ($3), higher than 67% of the 2,091 hospitals reporting HCPCS J0665. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 37 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 aetna medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $4.51 | $4.46 | $4.13 – $4.75 |
| 2 | Aetna aetna medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.51 | $4.46 | $4.13 – $4.75 |
| 3 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4.51 | $4.46 | $4.13 – $4.75 |
| 4 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges | $4.51 | $4.46 | $4.13 – $4.75 |
| 5 | Molina molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $4.99 | $4.94 | $4.57 – $5.25 |
| 6 | Tricare tricare (hnfs) military program facility · percent of total billed charges · outpatientfrom % of charges | $5.15 | $5.09 | $4.71 – $5.41 |
| 7 | Tricare tricare (hnfs) military program facility · percent of total billed charges · inpatientfrom % of charges | $6.12 | $6.05 | $5.60 – $6.43 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $9.74 | $9.63 | $8.92 – $10.24 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $9.98 | $9.87 | $9.14 – $10.49 |
| 10 | Molina medicaid facility · percent of total billed charges · inpatientfrom % of charges | $10.57 | $10.46 | $9.68 – $11.12 |
| 11 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · inpatientfrom % of charges | $10.57 | $10.46 | $9.68 – $11.12 |
| 12 | Aetna aetna extended network facility · percent of total billed charges · inpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 13 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · inpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 14 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · outpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 15 | Aetna aetna utah connected network facility · percent of total billed charges · inpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 16 | Aetna aetna utah connected network facility · percent of total billed charges · outpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 17 | Aetna aetna whole health connected utah network facility · percent of total billed charges · inpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 18 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · inpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 19 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · outpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 20 | Blue Cross Blue Shield bcbs association-blue card traditional plan facility · percent of total billed charges · inpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 21 | Blue Cross Blue Shield bcbs association-blue card traditional plan facility · percent of total billed charges · outpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 22 | Cigna cigna managed care (hmo or open access plus aka oap) facility · percent of total billed charges · inpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 23 | Cigna cigna managed care (hmo or open access plus aka oap) facility · percent of total billed charges · outpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 24 | Cigna cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
| 25 | Cigna cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $11.29 | $11.17 | $10.34 – $11.87 |
Last updated: Aug 5, 2026
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