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 (Xylocaine MPF) 1 % injection 0.9-4.2 mL
San Antonio, TX
See all hospitals reporting HCPCS J2003 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $12 is 53% above the median hospital's median price ($8), higher than 60% 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: 11 payers, 30 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 Tx blue advantangehmo fee schedule · outpatient | $0.03 | $0.03 | $0.03 – $0.03 |
| 2 | Bcbs Tx heb fee schedule · outpatient | $0.03 | $0.03 | $0.03 – $0.03 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $0.03 | $0.03 | $0.03 – $0.03 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 6 | UnitedHealthcare all payer fee schedule · outpatient | $0.06 | $0.06 | $0.06 – $0.06 |
| 7 | Aetna chip km percent of total billed charges · outpatientfrom % of charges | $4.83 | $5.89 | $2.91 – $19.10 |
| 8 | Aetna star km percent of total billed charges · outpatientfrom % of charges | $4.83 | $5.89 | $2.91 – $19.10 |
| 9 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $4.83 | $5.89 | $2.91 – $19.10 |
| 10 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $7.90 | $9.65 | $4.76 – $31.26 |
| 11 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $7.90 | $9.65 | $4.76 – $31.26 |
| 12 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $7.90 | $9.65 | $4.76 – $31.26 |
| 13 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $10.10 | $12.33 | $6.09 – $39.95 |
| 14 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $13.17 | $16.08 | $7.94 – $52.11 |
| 15 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $13.17 | $16.08 | $7.94 – $52.11 |
| 16 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $13.17 | $16.08 | $7.94 – $52.11 |
| 17 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $16.25 | $19.84 | $9.79 – $64.27 |
| 18 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $19.76 | $24.13 | $11.91 – $78.17 |
| 19 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $21.96 | $26.81 | $13.24 – $86.86 |
| 20 | Humana choicecare percent of total billed charges · outpatientfrom % of charges | $21.96 | $26.81 | $13.24 – $86.86 |
| 21 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $22.39 | $27.34 | $13.50 – $88.59 |
| 22 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $23.71 | $28.95 | $14.29 – $93.80 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $24.15 | $29.49 | $14.56 – $95.54 |
| 24 | Aetna epo percent of total billed charges · outpatientfrom % of charges | $26.35 | $32.17 | $15.88 – $104.23 |
| 25 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $26.35 | $32.17 | $15.88 – $104.23 |
Last updated: Jan 13, 2026
See Lidocaine local anesthetic injection, preservative-free 1% pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.