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
Ulm, MN
See all hospitals reporting HCPCS J2004 →Price type
Allina Health Systems’s median price of $34 is 415% 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: 8 payers, 23 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Mn bc pmap (n) facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Bcbs Mn bc premier(n) facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 6 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $10.55 | $12.11 | $8.72 – $20.90 |
| 7 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $16.67 | $19.14 | $13.78 – $33.03 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $22.95 | $26.35 | $18.96 – $45.47 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $23.30 | $26.75 | $19.25 – $46.15 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $23.59 | $27.09 | $19.49 – $46.74 |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $24.38 | $27.99 | $20.14 – $48.29 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $32.13 | $36.89 | $26.54 – $63.64 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $32.45 | $37.25 | $26.81 – $64.27 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $34.70 | $39.85 | $28.67 – $68.75 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $35.05 | $40.25 | $28.96 – $69.44 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $36.70 | $42.14 | $30.32 – $72.71 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $41.95 | $48.16 | $34.66 – $83.10 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $42.88 | $49.23 | $35.43 – $84.94 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $44.04 | $50.57 | $36.39 – $87.25 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $44.04 | $50.57 | $36.39 – $87.25 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $44.04 | $50.57 | $36.39 – $87.25 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $44.35 | $50.92 | $36.64 – $87.85 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $44.79 | $51.43 | $37.01 – $88.74 |
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.