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-EPINEPHRINE 1 %-1:100000 INJ SOLN
The hospitals that file a Ambetter rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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120 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36.05 | $12.34 – $84.56 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $10.25 | $6.40 – $25.85 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $10.62 | $6.72 – $26.49 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $10.50 | $6.56 – $26.49 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $10.38 | $6.41 – $26.49 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $10.18 | $6.13 – $26.49 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 2 | $2.34 | $1.96 – $2.93 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $1.83 | $1.53 – $2.28 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 2 | $2.34 | $1.96 – $2.93 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 2 | $2.47 | $2.07 – $3.09 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 2 | $2.34 | $1.96 – $2.93 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 2 | $2.34 | $1.96 – $2.93 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 2 | $2.34 | $1.96 – $2.93 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 2 | $2.34 | $1.96 – $2.93 |
| 15 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
| 16 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
| 17 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
| 18 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
| 19 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
| 20 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
| 21 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
| 22 | Baylor Scott & White Medical Center - McKinney McKinney, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
| 23 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
| 24 | Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
| 25 | Baylor Scott & White The Heart Hospital - Denton Denton, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.95 | $0.30 – $52.65 |
← Payers reporting HCPCS J2004 · Snapshot 20261108T203506Z-bb90dbab