Bupivacaine liposome injection, per milligram at IHC Health Services Inc., DBA Intermountain Health LDS Hospital

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION

Salt Lake City, UT

See all hospitals reporting HCPCS J0666 →

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How this price compares nationally

IHC Health Services Inc., DBA Intermountain Health LDS Hospital’s median price of $760 is 26757% above the median hospital's median price ($3), higher than 87% of the 1,719 hospitals reporting HCPCS J0666. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0666 at IHC Health Services Inc., DBA Intermountain Health LDS Hospital

Negotiated rates from the hospital’s own file: 6 payers, 34 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	Molina medicaid facility · fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
3	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
4	Regence medadvantage ppo facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
5	Humana medicare choice ppo facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
6	Aetna medicare adv ppo facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
7	Molina medicare advantage facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
8	Molina medicare choice care hmo facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
9	Molina medicare complete care hmo snp facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
10	UnitedHealthcare charter facility · percent of total billed charges · inpatientfrom % of charges	$651	$651	—	—	—	$651 – $651
11	UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges	$651	$651	—	—	—	$651 – $651
12	UnitedHealthcare charter ut facility · percent of total billed charges · inpatientfrom % of charges	$651	$651	—	—	—	$651 – $651
13	UnitedHealthcare charter ut facility · percent of total billed charges · outpatientfrom % of charges	$651	$651	—	—	—	$651 – $651
14	Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges	$670	$670	—	—	—	$670 – $670
15	Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges	$670	$670	—	—	—	$670 – $670
16	Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges	$684	$684	—	—	—	$684 – $684
17	Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges	$684	$684	—	—	—	$684 – $684
18	Regence high performance facility · percent of total billed charges · inpatientfrom % of charges	$760	$760	—	—	—	$760 – $760
19	Regence fehbp facility · percent of total billed charges · inpatientfrom % of charges	$765	$765	—	—	—	$765 – $765
20	Regence fehbp facility · percent of total billed charges · outpatientfrom % of charges	$765	$765	—	—	—	$765 – $765
21	UnitedHealthcare non-options ppo facility · percent of total billed charges · inpatientfrom % of charges	$771	$771	—	—	—	$771 – $771
22	UnitedHealthcare non-options ppo facility · percent of total billed charges · outpatientfrom % of charges	$771	$771	—	—	—	$771 – $771
23	Regence traditional facility · percent of total billed charges · inpatientfrom % of charges	$825	$825	—	—	—	$825 – $825
24	Regence traditional facility · percent of total billed charges · outpatientfrom % of charges	$825	$825	—	—	—	$825 – $825
25	Aetna connected facility · percent of total billed charges · inpatientfrom % of charges	$869	$869	—	—	—	$869 – $869

Page 1 of 2 · 34 rates

Last updated: Aug 5, 2026

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