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 Medicaid 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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87 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $32.13 | $1.09 – $103.35 |
| 2 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $41.75 | $15.75 – $55.76 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $31.80 | $3.00 – $120.00 |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $9.60 | $3.00 – $16.00 |
| 5 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $79.68 | $1.32 – $134.73 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $0.07 | $0.03 – $0.17 |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $0.06 | $0.02 – $0.14 |
| 8 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $26.35 | $18.96 – $45.47 |
| 9 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $0.01 | $0.01 – $0.01 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $0.01 | $0.01 – $0.01 |
| 11 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $227.94 | $11.55 – $437.76 |
| 12 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $0.11 | $0.01 – $0.26 |
| 13 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $84.84 | $1.00 – $168.68 |
| 14 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $29.62 | $2.60 – $51.11 |
| 15 | Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient | 1 | $154.56 | $154.56 – $154.56 |
| 16 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $2.61 | $2.61 – $2.61 |
| 17 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $111.57 | $1.24 – $417.44 |
| 18 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $0.02 | $0.01 – $0.05 |
| 19 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $0.03 | $0.01 – $0.09 |
| 20 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $13.36 | $7.69 – $19.01 |
| 21 | McLeod Health Dillon, SC fee schedule · both | 1 | $0.02 | $0.02 – $0.02 |
| 22 | McLeod Health Cheraw, SC fee schedule · both | 1 | $0.02 | $0.02 – $0.02 |
| 23 | McLeod Health Manning, SC fee schedule · both | 1 | $0.02 | $0.02 – $0.02 |
| 24 | McLeod Health Florence, SC fee schedule · both | 1 | $0.02 | $0.02 – $0.02 |
| 25 | McLeod Health Beach, SC fee schedule · both | 1 | $0.02 | $0.02 – $0.02 |
← Payers reporting HCPCS J2004 · Snapshot 20261108T203506Z-bb90dbab