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 Premera 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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8 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $51.18 | $44.42 – $71.88 |
| 2 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $51.18 | $44.42 – $71.88 |
| 3 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $53.78 | $31.11 – $78.61 |
| 4 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $10.91 | $0.25 – $44.38 |
| 5 | MultiCare Capital Medical Center Lacey, WA other · outpatient | 1 | $51.24 | $51.24 – $51.24 |
| 6 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $25.07 | $18.34 – $53.00 |
| 7 | Tacoma General Allenmore Hospital Bremerton, WA other · outpatient | 4 | $19.32 | $19.32 – $19.32 |
| 8 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0.03 | $0.01 – $0.07 |
← Payers reporting HCPCS J2004 · Snapshot 20261108T203506Z-bb90dbab