Intravenous lidocaine infusion in dextrose solution 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

LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $18 is 91% above the median hospital's median price ($9), higher than 56% of the 1,856 hospitals reporting HCPCS J2002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2002 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 27 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	Anthem empire medicaid facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
2	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
3	Excellus empire medicaid facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
4	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
5	Cigna cigna facility · fee schedule · both	$9	$9	—	—	—	$9 – $9
6	UnitedHealthcare united healthcare facility · fee schedule · both	$10	$10	—	—	—	$10 – $10
7	Aetna aetna facility · fee schedule · both	$13	$13	—	—	—	$13 – $13
8	Medical Mutual aetna facility · fee schedule · both	$13	$13	—	—	—	$13 – $13
9	Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
10	Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
11	Carefirst blue shield of ne new york hmo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
12	Carefirst blue shield of ne new york ppo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
13	Excellus blue shield of ne new york ppo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
14	First Health first health facility · percent of total billed charges · bothfrom % of charges	$18	$18	—	—	—	$18 – $18
15	Highmark blue shield of ne new york ascend facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
16	Highmark blue shield of ne new york hmo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
17	Highmark blue shield of ne new york ppo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
18	Premera blue shield of ne new york ppo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
19	Regence blue shield of ne new york ppo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
20	Wellmark blue shield of ne new york hmo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
21	Wellmark blue shield of ne new york ppo facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
22	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$20	$20	—	—	—	$20 – $20
23	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$20	$20	—	—	—	$20 – $20
24	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$20	$20	—	—	—	$20 – $20
25	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$21	$21	—	—	—	$21 – $21

Page 1 of 2 · 27 rates

Last updated: Mar 31, 2026

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