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
American Fork, UT
See all hospitals reporting HCPCS J0665 →Price type
IHC Health Services Inc., DBA Intermountain Health American Fork Hospital’s median price of $11 is 237% 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: 4 payers, 21 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 charter ut facility · percent of total billed charges · inpatientfrom % of charges | $9.43 | $11.06 | $8.24 – $16.74 |
| 2 | UnitedHealthcare charter ut facility · percent of total billed charges · outpatientfrom % of charges | $9.43 | $11.06 | $8.24 – $16.74 |
| 3 | Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges | $9.71 | $11.39 | $8.48 – $17.23 |
| 4 | Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges | $9.71 | $11.39 | $8.48 – $17.23 |
| 5 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $9.90 | $11.62 | $8.66 – $17.58 |
| 6 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $11.62 | $8.66 – $17.58 |
| 7 | Regence high performance facility · percent of total billed charges · inpatientfrom % of charges | $11.00 | $12.91 | $9.62 – $19.53 |
| 8 | Regence fehbp facility · percent of total billed charges · inpatientfrom % of charges | $11.08 | $13.00 | $9.69 – $19.67 |
| 9 | Regence fehbp facility · percent of total billed charges · outpatientfrom % of charges | $11.08 | $13.00 | $9.69 – $19.67 |
| 10 | UnitedHealthcare non-options ppo facility · percent of total billed charges · inpatientfrom % of charges | $11.16 | $13.09 | $9.76 – $19.81 |
| 11 | UnitedHealthcare non-options ppo facility · percent of total billed charges · outpatientfrom % of charges | $11.16 | $13.09 | $9.76 – $19.81 |
| 12 | Regence traditional facility · percent of total billed charges · inpatientfrom % of charges | $11.95 | $14.01 | $10.44 – $21.20 |
| 13 | Regence traditional facility · percent of total billed charges · outpatientfrom % of charges | $11.95 | $14.01 | $10.44 – $21.20 |
| 14 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $12.58 | $14.75 | $10.99 – $22.32 |
| 15 | Aetna connected facility · percent of total billed charges · outpatientfrom % of charges | $12.73 | $14.94 | $11.13 – $22.60 |
| 16 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $13.36 | $15.67 | $11.68 – $23.72 |
| 17 | Aetna extended facility · percent of total billed charges · outpatientfrom % of charges | $13.36 | $15.67 | $11.68 – $23.72 |
| 18 | Cigna ppo/epo facility · percent of total billed charges · inpatientfrom % of charges | $13.36 | $15.67 | $11.68 – $23.72 |
| 19 | Cigna ppo/epo facility · percent of total billed charges · outpatientfrom % of charges | $13.36 | $15.67 | $11.68 – $23.72 |
| 20 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $13.36 | $15.67 | $11.68 – $23.72 |
| 21 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $13.36 | $15.67 | $11.68 – $23.72 |
Last updated: Aug 5, 2026
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