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
Waldron, AR
See all hospitals reporting HCPCS J2002 →Price type
Mercy Hospital Waldron’s median price of $13 is 38% above the median hospital's median price ($9), higher than 52% 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: 14 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 hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Blue Cross Blue Shield hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 3 | First Health hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Humana hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Medica hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Medicare hb wldar medicare facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 7 | UnitedHealthcare hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 8 | UnitedHealthcare hb wldar uhc mcr facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 9 | WellCare hb wldar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Devoted hb wldar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Cigna hb wldar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 12 | Tricare hb wldar tricare facility · percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 13 | Ambetter hb wldar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Aetna hb wldar ok managed medicaid facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Humana hb wldar ok managed medicaid facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 16 | Medicaid hb wldar ok medicaid facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 17 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 18 | Cigna hb wldar,ozkar,prsar cigna facility · percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 19 | Humana hb wldar,ozkar,prsar humana facility · percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 20 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
Last updated: Jun 8, 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.