Bupivacaine local anesthetic injection, preservative-free at Samaritan Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $12 is 244% above the median hospital's median price ($3), higher than 68% of the 2,091 hospitals reporting HCPCS J0665. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0665 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 13 payers, 24 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	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$2.07	$2.05	$0.31 – $3.22
2	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$7.00	$6.96	$1.05 – $10.96
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
13	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
14	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$9.93	$11.45	$1.90 – $31.35
15	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$11.77	$16.13	$1.90 – $57.00
16	First Health first health facility · percent of total billed charges · bothfrom % of charges	$14.44	$16.65	$2.76 – $45.60
17	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$15.35	$17.69	$2.93 – $48.45
18	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$16.25	$18.73	$3.11 – $51.30
19	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$16.25	$18.73	$3.11 – $51.30
20	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$16.25	$18.73	$3.11 – $51.30
21	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$18.05	$20.81	$3.45 – $57.00
22	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$18.05	$20.81	$3.45 – $57.00
23	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$18.05	$20.81	$3.45 – $57.00
24	Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$18.05	$20.81	$3.45 – $57.00

Last updated: Mar 31, 2026

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