Bupivacaine liposome injection, per milligram at IHC Health Services Inc., DBA Intermountain Primary Children's 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

City, UT

See all hospitals reporting HCPCS J0666 →

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How this price compares nationally

IHC Health Services Inc., DBA Intermountain Primary Children's Hospital’s median price of $643 is 22631% above the median hospital's median price ($3), higher than 84% 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 Primary Children's Hospital

Negotiated rates from the hospital’s own file: 8 payers, 50 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	Tricare tricare facility · fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
3	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
4	Molina medicare advantage facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
5	Molina medicare choice care hmo facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
6	Molina medicare complete care hmo snp facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
7	UnitedHealthcare medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$407	$407	$100	25%	—	$307 – $507
8	Molina medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$595	$595	$146	25%	—	$449 – $742
9	Molina medicare choice care hmo facility · percent of total billed charges · inpatientfrom % of charges	$595	$595	$146	25%	—	$449 – $742
10	Molina medicare complete care hmo snp facility · percent of total billed charges · inpatientfrom % of charges	$595	$595	$146	25%	—	$449 – $742
11	Aetna connected facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
12	Aetna extended facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
13	Aetna standard facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
14	Cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
15	Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
16	Cigna ppo/epo facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
17	Cigna utah connect/local plus facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
18	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
19	Molina chip facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
20	Molina marketplace facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
21	UnitedHealthcare all plans facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	$173	25%	—	$531 – $878
22	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$714	$714	$176	25%	—	$539 – $890
23	Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges	$724	$724	$178	25%	—	$546 – $902
24	Regence bridgespan realvalue facility · percent of total billed charges · inpatientfrom % of charges	$724	$724	$178	25%	—	$546 – $902
25	Regence fehbp facility · percent of total billed charges · inpatientfrom % of charges	$724	$724	$178	25%	—	$546 – $902

Page 1 of 2 · 50 rates

Last updated: Aug 5, 2026

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