Intravenous lidocaine infusion in dextrose solution at Mercy Health Hackley Campus

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION

Muskegon, MI

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How this price compares nationally

Mercy Health Hackley Campus’s median price of $30 is 214% above the median hospital's median price ($9), higher than 67% of the 1,856 hospitals reporting HCPCS J2002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2002 at Mercy Health Hackley Campus

Negotiated rates from the hospital’s own file: 19 payers, 20 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 aetna preferred facility · percent of total billed charges · bothfrom % of charges	$16	$16	—	—	—	$16 – $16
2	Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges	$24	$24	—	—	—	$24 – $24
3	Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges	$24	$24	—	—	—	$24 – $24
4	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$28	$28	—	—	—	$28 – $28
5	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$28	$28	—	—	—	$28 – $28
6	Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$30	$30	—	—	—	$30 – $30
7	Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$30	$30	—	—	—	$30 – $30
8	Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$30	$30	—	—	—	$30 – $30
9	First Health first health ppo facility · percent of total billed charges · bothfrom % of charges	$31	$31	—	—	—	$31 – $31
10	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$33	$33	—	—	—	$33 – $33
11	Aetna aetna ppo facility · fee schedule · both	$62	$62	—	—	—	$62 – $62
12	Anthem bcbs trad / trust facility · fee schedule · both	$65	$65	—	—	—	$65 – $65
13	Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both	$65	$65	—	—	—	$65 – $65
14	Carefirst bcbs trad / trust facility · fee schedule · both	$65	$65	—	—	—	$65 – $65
15	Excellus bcbs trad / trust facility · fee schedule · both	$65	$65	—	—	—	$65 – $65
16	Highmark bcbs trad / trust facility · fee schedule · both	$65	$65	—	—	—	$65 – $65
17	Kaiser bcbs trad / trust facility · fee schedule · both	$65	$65	—	—	—	$65 – $65
18	Premera bcbs trad / trust facility · fee schedule · both	$65	$65	—	—	—	$65 – $65
19	Regence bcbs trad / trust facility · fee schedule · both	$65	$65	—	—	—	$65 – $65
20	Wellmark bcbs trad / trust facility · fee schedule · both	$65	$65	—	—	—	$65 – $65

Last updated: Mar 31, 2026

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