Intravenous lidocaine infusion in dextrose solution at Sanford Wheaton

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.

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Generated: October 20, 2026

Original text from hospital filings

Lidocaine IV Infusion in D5W Inj 4 MG/ML

Wheaton, MN

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How this price compares nationally

Sanford Wheaton’s median price of $54 is 504% above the median hospital's median price ($9), higher than 83% of the 1,843 hospitals reporting HCPCS J2002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2002 at Sanford Wheaton

Negotiated rates from the hospital’s own file: 8 payers, 26 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	Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges	$15	$15	$0	1%	—	$15 – $15
2	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$32	$32	$0	1%	—	$32 – $32
3	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$34	$34	$0	1%	—	$34 – $34
4	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$34	$34	$0	1%	—	$34 – $35
5	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$34	$34	$0	1%	—	$34 – $35
6	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$34	$34	$0	1%	—	$34 – $35
7	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$43	$43	$0	1%	—	$43 – $44
8	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$50	$50	$0	1%	—	$49 – $50
9	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$50	$50	$0	1%	—	$49 – $50
10	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$53	$53	$0	1%	—	$52 – $53
11	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$53	$53	$0	1%	—	$52 – $53
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$55	$55	$0	1%	—	$54 – $55
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$55	$55	$0	1%	—	$54 – $55
14	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$55	$55	$0	1%	—	$55 – $56
15	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$55	$55	$0	1%	—	$55 – $56
16	Medica choice percent of total billed charges · outpatientfrom % of charges	$55	$55	$0	1%	—	$55 – $56
17	Medica choice percent of total billed charges · inpatientfrom % of charges	$56	$56	$0	1%	—	$55 – $56
18	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$57	$57	$0	1%	—	$56 – $57
19	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$57	$57	$0	1%	—	$56 – $57
20	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$58	$58	$0	1%	—	$58 – $59
21	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$59	$59	$0	1%	—	$58 – $59
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$59	$59	$0	1%	—	$58 – $59
23	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$59	$59	$0	1%	—	$58 – $59
24	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$59	$59	$0	1%	—	$58 – $59
25	Medica elect percent of total billed charges · outpatientfrom % of charges	$59	$59	$0	1%	—	$59 – $60

Page 1 of 2 · 26 rates

Last updated: Mar 4, 2026

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