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
Ada, OK
See all hospitals reporting HCPCS J2002 →Price type
Mercy Hospital Ada Inc’s median price of $32 is 235% above the median hospital's median price ($9), higher than 69% 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: 9 payers, 14 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 hb ada ok medicaid (soonercare) facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Humana hb ada ok medicaid (soonercare) facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Medicaid hb ada ok medicaid (soonercare) facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Healthcare Highways hb ada, ardm, oklc healthcare hwy chicksaw nation facility · percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Medica hb ada medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 6 | Aetna hb ada aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 7 | Aetna hb ada aetna facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 8 | Healthcare Highways hb ada, hmh, kgfer, lgnok, lhcp, tish, wtga healthcare highways facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 9 | UnitedHealthcare hb ada uhc facility · fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 10 | UnitedHealthcare hb ada uhc exchange facility · fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 11 | First Health hb ada aetna - first health facility · percent of total billed charges · outpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 12 | MultiPlan hb ada phcs primary & complementary facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 13 | Medica hb ada united behavioral health comm facility · percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 14 | Optum hb ada united behavioral health comm facility · percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
Last updated: Jun 11, 2026
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.