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 (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION
Troy, MO
See all hospitals reporting HCPCS J0665 →Price type
Mercy Hospital Lincoln’s median price of $7 is 117% above the median hospital's median price ($3), higher than 58% of the 2,091 hospitals reporting HCPCS J0665. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 17 payers, 39 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 hb wash jefn linc samc molina healthchoice of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $0.87 | $0.87 | $0.76 – $0.98 |
| 2 | Aetna hb wash jefn linc samc aetna better health of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $2.01 | $2.01 | $1.76 – $2.25 |
| 3 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.01 | $2.01 | $1.76 – $2.25 |
| 4 | Optum hb linc uhc hmo ppo all payer facility · fee schedule · outpatient | $2.25 | $2.25 | $1.50 – $3.00 |
| 5 | UnitedHealthcare hb linc uhc compass/exchange facility · fee schedule · outpatient | $2.25 | $2.25 | $1.50 – $3.00 |
| 6 | UnitedHealthcare hb linc uhc core new 100121 facility · fee schedule · outpatient | $2.25 | $2.25 | $1.50 – $3.00 |
| 7 | UnitedHealthcare hb linc uhc hmo ppo all payer facility · fee schedule · outpatient | $2.25 | $2.25 | $1.50 – $3.00 |
| 8 | Blue Cross Blue Shield hb linc missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $2.67 | $2.67 | $2.34 – $3.00 |
| 9 | Medicaid hb linc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.67 | $2.67 | $2.34 – $3.00 |
| 10 | UnitedHealthcare hb linc uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.67 | $2.67 | $2.34 – $3.00 |
| 11 | Tricare hb linc tricare - healthnet west facility · percent of total billed charges · outpatientfrom % of charges | $2.86 | $2.86 | $2.50 – $3.21 |
| 12 | Blue Cross Blue Shield hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $3.14 | $3.14 | $2.75 – $3.53 |
| 13 | Humana hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $3.14 | $3.14 | $2.75 – $3.53 |
| 14 | Medica hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $3.14 | $3.14 | $2.75 – $3.53 |
| 15 | Medicare hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $3.14 | $3.14 | $2.75 – $3.53 |
| 16 | UnitedHealthcare hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $3.14 | $3.14 | $2.75 – $3.53 |
| 17 | WellCare hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $3.14 | $3.14 | $2.75 – $3.53 |
| 18 | Aetna hb linc aetna/coventry mcr w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $3.21 | $3.21 | $2.81 – $3.60 |
| 19 | UnitedHealthcare hb linc uhc mcr w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $3.21 | $3.21 | $2.81 – $3.60 |
| 20 | WellCare hb linc wellcare harmony mcr 103% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $3.24 | $3.24 | $2.84 – $3.64 |
| 21 | Devoted hb linc devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $3.27 | $3.27 | $2.87 – $3.67 |
| 22 | Cigna hb linc cigna managed medicare 100% w/seq new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $3.36 | $3.36 | $2.94 – $3.77 |
| 23 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $5.61 | $5.61 | $4.91 – $6.30 |
| 24 | Ambetter hb linc centene exchange/ambetter eff 090118 facility · percent of total billed charges · outpatientfrom % of charges | $6.13 | $6.13 | $5.37 – $6.89 |
| 25 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $6.35 | $6.35 | $5.56 – $7.13 |
Last updated: Jun 10, 2026
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