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
LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION
Longmont, CO
See all hospitals reporting HCPCS J2002 →Price type
Longs Peak Hospital’s median price of $73 is 674% above the median hospital's median price ($9), higher than 87% of the 1,856 hospitals reporting HCPCS J2002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 23 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 advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Cigna broad networks fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Cigna colorado rockies fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Cigna local plus/surefit/connect fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Cigna medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Devoted medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Humana medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Kaiser medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 10 | UnitedHealthcare medicare advantage fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Anthem commercial fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Anthem hmo/ppo fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Anthem ppo fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Aetna commercial fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $93 | $100 | $27 | 27% | — | $73 – $149 |
| 16 | Anthem commercial percent of total billed charges · inpatientfrom % of charges | $93 | $111 | $27 | 24% | — | $93 – $149 |
| 17 | UnitedHealthcare select rates percent of total billed charges · outpatientfrom % of charges | $128 | $154 | $37 | 24% | — | $128 – $206 |
| 18 | First Health commercial percent of total billed charges · inpatientfrom % of charges | $147 | $177 | $42 | 24% | — | $147 – $236 |
| 19 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $147 | $177 | $42 | 24% | — | $147 – $236 |
| 20 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $149 | $180 | $43 | 24% | — | $149 – $240 |
| 21 | UnitedHealthcare broad networks percent of total billed charges · outpatientfrom % of charges | $154 | $186 | $44 | 24% | — | $154 – $248 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $172 | $207 | $49 | 24% | — | $172 – $276 |
| 23 | Phcs commercial percent of total billed charges · outpatientfrom % of charges | $174 | $210 | $50 | 24% | — | $174 – $280 |
Last updated: Nov 1, 2025
See Intravenous lidocaine infusion in dextrose solution pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.