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 in dextrose 0.75-8.25 % Soln 2 mL Ampule
Lewistown, PA
See all hospitals reporting HCPCS J0665 →Price type
Geisinger Lewistown Hospital’s median price of $6 is 72% above the median hospital's median price ($3), higher than 55% 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: 6 payers, 15 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 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | UnitedHealthcare united healthcare - managed medicaid fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Medicaid medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 4 | Blue Cross Blue Shield capital - special network rates percent of total billed charges · outpatientfrom % of charges | $3.41 | $3.73 | $2.83 – $5.93 |
| 5 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $4.32 | $4.73 | $3.58 – $7.51 |
| 6 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $4.35 | $4.76 | $3.61 – $7.57 |
| 7 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $4.87 | $5.33 | $4.04 – $8.47 |
| 8 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $5.04 | $5.51 | $4.18 – $8.76 |
| 9 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $5.04 | $5.51 | $4.18 – $8.76 |
| 10 | Blue Cross Blue Shield capital - basic network rates percent of total billed charges · outpatientfrom % of charges | $5.50 | $6.02 | $4.56 – $9.56 |
| 11 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $9.39 | $10.27 | $7.79 – $16.32 |
| 12 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $9.39 | $10.27 | $7.79 – $16.32 |
| 13 | Cigna cigna case rate · inpatient | $16,340 | $16,340 | $16,340 – $16,340 |
| 14 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $17,050 | $17,050 | $17,050 – $17,050 |
| 15 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $24,358 | $24,358 | $24,358 – $24,358 |
Last updated: Jul 1, 2026
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