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) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE
Tishomingo, OK
See all hospitals reporting HCPCS J2003 →Price type
Mercy Hospital Tishomingo Inc’s median price of $14 is 78% above the median hospital's median price ($8), higher than 64% of the 1,805 hospitals reporting HCPCS J2003. 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, 37 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 tish ok medicaid (soonercare) facility · fee schedule · outpatient | $1.25 | $1.68 | $0.20 – $4.00 |
| 2 | Humana hb tish ok medicaid (soonercare) facility · fee schedule · outpatient | $1.25 | $1.68 | $0.20 – $4.00 |
| 3 | Medicaid hb tish ok medicaid (soonercare) facility · fee schedule · outpatient | $1.25 | $1.68 | $0.20 – $4.00 |
| 4 | Ambetter hb tish ambetter exchange medicare facility · percent of total billed charges · outpatientfrom % of charges | $8.10 | $7.65 | $5.31 – $9.09 |
| 5 | Blue Cross Blue Shield hb tish blue cross advantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $8.64 | $8.16 | $5.66 – $9.70 |
| 6 | Blue Cross Blue Shield hb tish blue traditional facility · percent of total billed charges · outpatientfrom % of charges | $9.99 | $9.43 | $6.55 – $11.21 |
| 7 | Anthem hb tish blue choice facility · percent of total billed charges · outpatientfrom % of charges | $11.88 | $11.22 | $7.79 – $13.33 |
| 8 | Blue Cross Blue Shield hb tish blue choice facility · percent of total billed charges · outpatientfrom % of charges | $11.88 | $11.22 | $7.79 – $13.33 |
| 9 | Aetna hb tish managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $12.44 | $11.75 | $8.16 – $13.97 |
| 10 | Blue Cross Blue Shield hb tish managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $12.44 | $11.75 | $8.16 – $13.97 |
| 11 | First Health hb tish managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $12.44 | $11.75 | $8.16 – $13.97 |
| 12 | Humana hb tish managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $12.44 | $11.75 | $8.16 – $13.97 |
| 13 | Medica hb tish medica medicare new 031523 facility · percent of total billed charges · outpatientfrom % of charges | $12.44 | $11.75 | $8.16 – $13.97 |
| 14 | Medicare hb tish medicare facility · percent of total billed charges · outpatientfrom % of charges | $12.44 | $11.75 | $8.16 – $13.97 |
| 15 | Tricare hb tish managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $12.44 | $11.75 | $8.16 – $13.97 |
| 16 | Tricare hb tish tricare facility · percent of total billed charges · outpatientfrom % of charges | $12.44 | $11.75 | $8.16 – $13.97 |
| 17 | UnitedHealthcare hb tish managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $12.44 | $11.75 | $8.16 – $13.97 |
| 18 | WellCare hb tish managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $12.44 | $11.75 | $8.16 – $13.97 |
| 19 | Cigna hb tish cigna mcr w/seq 103% facility · percent of total billed charges · outpatientfrom % of charges | $12.82 | $12.11 | $8.41 – $14.39 |
| 20 | Blue Cross Blue Shield hb tish blue cross preferred facility · percent of total billed charges · outpatientfrom % of charges | $12.96 | $12.24 | $8.50 – $14.54 |
| 21 | Blue Cross Blue Shield hb tish blue lincs facility · percent of total billed charges · outpatientfrom % of charges | $12.96 | $12.24 | $8.50 – $14.54 |
| 22 | UnitedHealthcare hb tish uhc medicare new 040122 w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $12.97 | $12.26 | $8.51 – $14.57 |
| 23 | Blue Cross Blue Shield hb tish bcbs of ok nativeblue mcr 103% (no seq) facility · percent of total billed charges · outpatientfrom % of charges | $13.07 | $12.34 | $8.57 – $14.67 |
| 24 | Devoted hb tish devoted health mcr 104% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $13.19 | $12.46 | $8.65 – $14.81 |
| 25 | Aetna hb tish aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $16.63 | $15.70 | $10.90 – $18.66 |
Last updated: Jun 11, 2026
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