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 LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION
American Fork, UT
See all hospitals reporting HCPCS J0666 →Price type
IHC Health Services Inc., DBA Intermountain Health American Fork Hospital’s median price of $865 is 30456% above the median hospital's median price ($3), higher than 89% of the 1,719 hospitals reporting HCPCS J0666. 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, 29 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 medicare adv hmo facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Regence medadvantage ppo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Humana medicare choice ppo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Aetna medicare adv ppo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Molina medicare advantage facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Molina medicare choice care hmo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Molina medicare complete care hmo snp facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 9 | UnitedHealthcare charter ut facility · percent of total billed charges · inpatientfrom % of charges | $864 | $864 | $212 | 25% | — | $651 – $1.1k |
| 10 | UnitedHealthcare charter ut facility · percent of total billed charges · outpatientfrom % of charges | $864 | $864 | $212 | 25% | — | $651 – $1.1k |
| 11 | Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges | $889 | $889 | $219 | 25% | — | $670 – $1.1k |
| 12 | Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges | $889 | $889 | $219 | 25% | — | $670 – $1.1k |
| 13 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $907 | $907 | $223 | 25% | — | $684 – $1.1k |
| 14 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $907 | $907 | $223 | 25% | — | $684 – $1.1k |
| 15 | Regence high performance facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | $248 | 25% | — | $760 – $1.3k |
| 16 | Regence fehbp facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | $250 | 25% | — | $766 – $1.3k |
| 17 | Regence fehbp facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $250 | 25% | — | $766 – $1.3k |
| 18 | UnitedHealthcare non-options ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | $251 | 25% | — | $771 – $1.3k |
| 19 | UnitedHealthcare non-options ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $251 | 25% | — | $771 – $1.3k |
| 20 | Regence traditional facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | $269 | 25% | — | $825 – $1.4k |
| 21 | Regence traditional facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $269 | 25% | — | $825 – $1.4k |
| 22 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $283 | 25% | — | $869 – $1.4k |
| 23 | Aetna connected facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $287 | 25% | — | $880 – $1.5k |
| 24 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $301 | 25% | — | $923 – $1.5k |
| 25 | Aetna extended facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $301 | 25% | — | $923 – $1.5k |
Last updated: Aug 5, 2026
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