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 0.5 -1 200000 Soln 50 mL VI
River Falls, WI
See all hospitals reporting HCPCS J2004 →Price type
Allina Health Systems’s median price of $33 is 407% above the median hospital's median price ($7), higher than 80% 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: 6 payers, 17 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 pmap (r) facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 5 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $11.42 | $12.44 | $9.95 – $17.83 |
| 6 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $15.27 | $16.64 | $13.30 – $23.84 |
| 7 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $25.22 | $27.47 | $21.97 – $39.38 |
| 8 | Medica medica medicare (r) facility · fee schedule · outpatient | $25.22 | $27.47 | $21.97 – $39.38 |
| 9 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $25.55 | $27.83 | $22.25 – $39.88 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $34.78 | $37.89 | $30.29 – $54.30 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $35.13 | $38.26 | $30.59 – $54.84 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $37.58 | $40.93 | $32.72 – $58.66 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $37.95 | $41.34 | $33.05 – $59.24 |
| 14 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $47.69 | $51.95 | $41.53 – $74.44 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $47.69 | $51.95 | $41.53 – $74.44 |
| 16 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $48.02 | $52.30 | $41.82 – $74.95 |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $48.50 | $52.83 | $42.24 – $75.71 |
Last updated: Jun 15, 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.