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) 1 -1 1000 20
Owatonna, MN
See all hospitals reporting HCPCS J2004 →Price type
Allina Health Systems’s median price of $38 is 476% above the median hospital's median price ($7), higher than 83% of the 1,679 hospitals reporting HCPCS J2004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Mn bc high value/performance network (bdosv) facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Mn bc premier (b d o s v) facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Blue Cross Blue Shield bc aehp (b d o s v) facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Blue Cross Blue Shield bc pmap (b d o s v) facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | UnitedHealthcare united healthcare (bdosv) facility · case rate · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | Blue Cross Blue Shield allina health blueprint (bdoshv) facility · other · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 7 | Blue Cross Blue Shield bc aware/blue plus (b d o s v) facility · other · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 8 | Blue Cross Blue Shield bc state health plan (b d o s v) facility · other · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 9 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $11.42 | $12.44 | $9.95 – $17.83 |
| 10 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $25.22 | $27.47 | $21.97 – $39.37 |
| 11 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $25.29 | $27.54 | $22.02 – $39.47 |
| 12 | Aetna aetna performance (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $26.64 | $29.02 | $23.20 – $41.59 |
| 13 | Aetna aetna performance (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $26.71 | $29.10 | $23.26 – $41.70 |
| 14 | Medica medica dual solutions (b d v o s) facility · percent of total billed charges · outpatientfrom % of charges | $28.95 | $31.54 | $25.21 – $45.20 |
| 15 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $33.65 | $36.66 | $29.31 – $52.53 |
| 16 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $33.74 | $36.76 | $29.39 – $52.68 |
| 17 | Healthpartners hpi (bdov) facility · other · outpatient | $38.43 | $41.86 | $33.47 – $59.99 |
| 18 | Medica medica ubh (o) facility · percent of total billed charges · inpatientfrom % of charges | $39.74 | $43.29 | $34.61 – $62.03 |
| 19 | Medica medica elect (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $40.72 | $44.35 | $35.46 – $63.56 |
| 20 | Medica medica essentials (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $42.51 | $46.30 | $37.02 – $66.36 |
| 21 | Medica medica mhps (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $42.51 | $46.30 | $37.02 – $66.36 |
| 22 | Medica medica choice (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $44.74 | $48.73 | $38.96 – $69.84 |
| 23 | Medica medica ubh pmap (o) facility · percent of total billed charges · outpatientfrom % of charges | $45.42 | $49.47 | $39.55 – $70.90 |
| 24 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $47.69 | $51.95 | $41.53 – $74.44 |
| 25 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $47.69 | $51.95 | $41.53 – $74.44 |
Last updated: Jun 16, 2026
See Lidocaine with epinephrine injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.