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
Park City, UT
See all hospitals reporting HCPCS J0666 →Price type
IHC Health Services Inc., DBA Intermountain Health Park City Hospital’s median price of $741 is 26080% above the median hospital's median price ($3), higher than 86% 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, 42 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 | Molina medicaid facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Aetna medicare adv hmo facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Humana medicare choice ppo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Molina medicare complete care hmo snp facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Regence medadvantage ppo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Aetna medicare adv ppo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 9 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 10 | Molina chip facility · percent of total billed charges · inpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 11 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 12 | Molina marketplace facility · percent of total billed charges · inpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 13 | Molina marketplace facility · percent of total billed charges · outpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 14 | Regence fehbp facility · percent of total billed charges · inpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 15 | Regence fehbp facility · percent of total billed charges · outpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 16 | Regence traditional facility · percent of total billed charges · inpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 17 | Regence traditional facility · percent of total billed charges · outpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 18 | Regence valuecare facility · percent of total billed charges · inpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 19 | Regence valuecare facility · percent of total billed charges · outpatientfrom % of charges | $938 | $938 | $231 | 25% | — | $708 – $1.2k |
| 20 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $960 | $960 | $236 | 25% | — | $724 – $1.2k |
| 21 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $960 | $960 | $236 | 25% | — | $724 – $1.2k |
| 22 | Aetna connected facility · percent of total billed charges · outpatientfrom % of charges | $971 | $971 | $239 | 25% | — | $733 – $1.2k |
| 23 | Aetna extended facility · percent of total billed charges · outpatientfrom % of charges | $971 | $971 | $239 | 25% | — | $733 – $1.2k |
| 24 | Aetna standard facility · percent of total billed charges · inpatientfrom % of charges | $977 | $977 | $240 | 25% | — | $737 – $1.2k |
| 25 | Aetna standard facility · percent of total billed charges · outpatientfrom % of charges | $977 | $977 | $240 | 25% | — | $737 – $1.2k |
Last updated: Aug 5, 2026
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