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 (PF) 1 %-1:200,000 INJ SOLN
Wadena, MN
See all hospitals reporting HCPCS J2004 →Price type
Astera Health’s median price of $47 is 608% above the median hospital's median price ($7), higher than 87% 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: 7 payers, 34 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 | Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient | $0.41 | $1.81 | $0.20 – $6.11 |
| 2 | Blue Cross Blue Shield bcbs high value network fee schedule · outpatient | $0.41 | $1.81 | $0.20 – $6.11 |
| 3 | Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient | $0.41 | $1.81 | $0.20 – $6.11 |
| 4 | Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges | $20.38 | $29.38 | $18.76 – $48.59 |
| 5 | Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges | $22.40 | $32.29 | $20.62 – $53.40 |
| 6 | Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges | $22.40 | $32.29 | $20.62 – $53.40 |
| 7 | Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges | $23.52 | $33.90 | $21.65 – $56.07 |
| 8 | Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges | $23.52 | $33.90 | $21.65 – $56.07 |
| 9 | Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges | $23.94 | $34.51 | $22.04 – $57.07 |
| 10 | Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges | $23.94 | $34.51 | $22.04 – $57.07 |
| 11 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges | $31.13 | $44.87 | $28.66 – $74.22 |
| 12 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges | $32.31 | $46.57 | $29.74 – $77.02 |
| 13 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $38.85 | $56.00 | $35.77 – $92.63 |
| 14 | UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges | $41.60 | $59.97 | $38.30 – $99.18 |
| 15 | Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges | $41.62 | $60.00 | $38.32 – $99.24 |
| 16 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges | $42.58 | $61.38 | $39.20 – $101.52 |
| 17 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges | $42.58 | $61.38 | $39.20 – $101.52 |
| 18 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges | $42.58 | $61.38 | $39.20 – $101.52 |
| 19 | UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges | $43.28 | $62.39 | $39.85 – $103.19 |
| 20 | Medica medica [100341] percent of total billed charges · outpatientfrom % of charges | $43.62 | $62.87 | $40.16 – $103.99 |
| 21 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $44.79 | $64.57 | $41.24 – $106.79 |
| 22 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $44.79 | $64.57 | $41.24 – $106.79 |
| 23 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges | $47.59 | $68.60 | $43.82 – $113.47 |
| 24 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges | $47.59 | $68.60 | $43.82 – $113.47 |
| 25 | Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges | $50.39 | $72.64 | $46.40 – $120.14 |
Last updated: Feb 20, 2026
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