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 in D5W per 1 mg
San Angelo, TX
See all hospitals reporting HCPCS J2002 →Price type
Shannon River Crest Hospital’s median price of $59 is 532% above the median hospital's median price ($9), higher than 84% of the 1,848 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: 7 payers, 17 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 | Ambetter ppo facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Humana medicare advantage facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 4 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 5 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 6 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 9 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 10 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 11 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 12 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 13 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 14 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
Last updated: Dec 8, 2025
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.