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 Medicare 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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26 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5,467 | $5,467 – $5,467 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $0.06 | $0.02 – $0.17 |
| 3 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $38.85 | $21.67 – $56.02 |
| 4 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $34.98 | $31.16 – $53.61 |
| 5 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $9.29 | $3.81 – $13.60 |
| 6 | Mercy Hospital Columbus Columbus, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.08 | $10.01 – $10.15 |
| 7 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17.08 | $6.74 – $27.88 |
| 8 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.15 | $5.24 – $20.36 |
| 9 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.87 | $5.54 – $18.17 |
| 10 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17.88 | $8.30 – $41.96 |
| 11 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.04 | $9.96 – $10.11 |
| 12 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11.70 | $11.70 – $11.70 |
| 13 | Mercy Hospital Kingfisher, Inc Kingfisher, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19.23 | $19.23 – $19.23 |
| 14 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.46 | $6.59 – $18.11 |
| 15 | Mercy Hospital Logan County Inc Guthrie, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13.68 | $13.68 – $13.68 |
| 16 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $9.52 | $7.31 – $13.83 |
| 17 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.55 | $5.85 – $19.37 |
| 18 | Mercy Hospital Tishomingo Inc Tishomingo, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19.51 | $19.37 – $19.64 |
| 19 | Mercy Hospital Waldron Waldron, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14.54 | $14.54 – $14.54 |
| 20 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15.46 | $7.92 – $21.76 |
| 21 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13.42 | $7.16 – $19.68 |
| 22 | Pittsburg Hospital, LLC Pittsburg, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $10.02 | $4.63 – $15.21 |
| 23 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $11.04 | $5.72 – $15.73 |
| 24 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $21.51 | $21.51 – $21.51 |
| 25 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 1 | $25.09 | $25.09 – $25.09 |
← Payers reporting HCPCS J2004 · Snapshot 20261108T203506Z-bb90dbab