Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution cost in Pennsylvania
LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION · HCPCS J2002
$4.20
lowest in Pennsylvania
$18.00
state median
$121.00
highest in Pennsylvania
$39.75
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $4.20 | $0.00 – $5.95 | 11 |
| UPMC Hanover | Hanover | $4.20 | $0.00 – $0.00 | 5 |
| UPMC Lititz | Lititz | $4.20 | $0.00 – $0.00 | 4 |
| UPMC Memorial | York | $4.20 | $0.00 – $0.01 | 6 |
| UPMC Somerset | Somerset | $4.20 | $0.00 – $0.00 | 3 |
| UPMC Carlisle | Carlisle | $4.20 | $0.00 – $5.95 | 14 |
| UPMC Kane | Kane | $18.00 | $0.00 – $0.02 | 6 |
| WellSpan Waynesboro Hospital | Waynesboro | $28.00 | $6.00 – $70.00 | 19 |
| WellSpan Chambersburg Hospital | Chambersburg | $32.00 | $0.01 – $70.00 | 26 |
| Uniontown Hospital | Uniontown | $60.00 | $0.02 – $0.02 | 1 |
| WellSpan Ephrata Community Hospital | Ephrata | $100.20 | $6.00 – $70.00 | 23 |
| WellSpan Gettysburg Hospital | Gettysburg | $105.80 | $6.00 – $70.00 | 24 |
| WellSpan Good Samaritan Hospital | Lebanon | $114.40 | $0.01 – $70.00 | 24 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $121.00 | $6.00 – $70.00 | 24 |