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 Healthpartners 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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109 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $36.60 | $36.60 – $36.60 |
| 2 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $54.81 | $36.10 – $64.17 |
| 3 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $71.52 | $71.52 – $71.52 |
| 4 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $41.86 | $33.47 – $59.99 |
| 5 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $41.86 | $33.47 – $59.99 |
| 6 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $41.86 | $33.47 – $59.99 |
| 7 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $41.86 | $33.47 – $59.99 |
| 8 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $73.43 | $53.51 – $83.54 |
| 9 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $149.90 | $145.28 – $154.52 |
| 10 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $149.90 | $145.28 – $154.52 |
| 11 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $158.01 | $158.01 – $158.01 |
| 12 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $158.01 | $158.01 – $158.01 |
| 13 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · inpatientfrom % of charges | 1 | $156.84 | $156.84 – $156.84 |
| 14 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $156.84 | $156.84 – $156.84 |
| 15 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · inpatientfrom % of charges | 1 | $109.47 | $109.47 – $109.47 |
| 16 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 1 | $109.47 | $109.47 – $109.47 |
| 17 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $160.88 | $160.88 – $160.88 |
| 18 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $160.88 | $160.88 – $160.88 |
| 19 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 1 | $157.70 | $157.70 – $157.70 |
| 20 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $157.70 | $157.70 – $157.70 |
| 21 | Avera Heart Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $56.56 | $43.14 – $89.75 |
| 22 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 1 | $145.23 | $119.09 – $161.35 |
| 23 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · outpatientfrom % of charges | 1 | $145.23 | $119.09 – $161.35 |
| 24 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 1 | $98.32 | $87.16 – $106.98 |
| 25 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 1 | $98.32 | $87.16 – $106.98 |
← Payers reporting HCPCS J2004 · Snapshot 20261108T203506Z-bb90dbab