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 LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION
Louis, MO
See all hospitals reporting HCPCS J0666 →Price type
Mercy Hospital South’s median price of $76 is 2573% above the median hospital's median price ($3), higher than 67% of the 1,719 hospitals reporting HCPCS J0666. 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, 43 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 samc aetna and coventry managed medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Aetna hb samc medicare and 100% managed medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield hb samc medicare and 100% managed medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Humana hb samc humana medicare w/seq ip 97% op 100% new 010124 facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Humana hb samc medicare and 100% managed medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Medica hb samc medicare and 100% managed medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Medicare hb samc medicare and 100% managed medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Tricare hb samc tricare - healthnet west facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | UnitedHealthcare hb samc medicare and 100% managed medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 10 | WellCare hb samc medicare and 100% managed medicare facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Cigna hb samc cigna managed medicare 010122 103% 010123 102% w/seq new 010122 facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 12 | WellCare hb samc wellcare harmony mcr 103% facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Devoted hb samc devoted health medicare advantage 104% w/seq facility · other · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Anthem hb samc anthem access choice facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Anthem hb samc anthem blue access facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 16 | Blue Cross Blue Shield hb samc anthem access choice facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Blue Cross Blue Shield hb samc anthem blue access facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Blue Cross Blue Shield hb samc anthem blue preferred eff 011520 facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Blue Cross Blue Shield hb samc anthem pathway/exchange eff 011520 facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 20 | Molina hb wash jefn linc samc molina healthchoice of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 21 | Aetna hb wash jefn linc samc aetna better health of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 22 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 23 | Optum hb samc uhc hmo ppo all payer facility · fee schedule · outpatient | $206 | $206 | $1 | 0% | — | $205 – $207 |
| 24 | UnitedHealthcare hb samc uhc compass/exchange facility · fee schedule · outpatient | $206 | $206 | $1 | 0% | — | $205 – $207 |
| 25 | UnitedHealthcare hb samc uhc core new 100121 facility · fee schedule · outpatient | $206 | $206 | $1 | 0% | — | $205 – $207 |
Last updated: Jun 10, 2026
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