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 Carefirst 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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20 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $8.94 | $2.26 – $14.65 |
| 2 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $10.81 | $1.89 – $23.17 |
| 3 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $14.75 | $3.57 – $25.22 |
| 4 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $14.75 | $3.57 – $25.22 |
| 5 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $0.06 | $0.01 – $0.16 |
| 6 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0.15 | $0.01 – $1.13 |
| 7 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $0.17 | $0.02 – $0.45 |
| 8 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $0.13 | $0.02 – $0.33 |
| 9 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 3 | $0.07 | $0.01 – $0.20 |
| 10 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 3 | $0.10 | $0.02 – $0.28 |
| 11 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 3 | $0.06 | $0.01 – $0.15 |
| 12 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $0.13 | $0.02 – $0.32 |
| 13 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0.09 | $0.01 – $0.23 |
| 14 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $17.51 | $15.12 – $29.48 |
| 15 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $0.07 | $0.01 – $0.22 |
| 16 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0.08 | $0.01 – $0.21 |
| 17 | RESTON HOSPITAL CENTER Reston, VA percent of total billed charges · outpatientfrom % of charges | 2 | $59.50 | $16.99 – $86.53 |
| 18 | STONESPRINGS HOSPITAL CENTER Dulles, VA percent of total billed charges · outpatientfrom % of charges | 2 | $42.14 | $0.10 – $83.40 |
| 19 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 2 | $2.28 | $0.39 – $4.97 |
| 20 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 2 | $2.16 | $0.39 – $4.97 |
← Payers reporting HCPCS J2004 · Snapshot 20261108T203506Z-bb90dbab