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 1%-Epi 1:100000 30ML
Sioux Falls, SD
See all hospitals reporting HCPCS J2004 →Price type
Avera Behavioral Health Hospital’s median price of $0 is 99% below the median hospital's median price ($7), higher than 23% 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: 4 payers, 6 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 | Wellmark hmo fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Wellmark ppo fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | UnitedHealthcare com fee schedule · outpatient | $0.07 | $0.07 | $0.07 – $0.07 |
| 4 | Medica com fee schedule · outpatient | $4.70 | $4.70 | $4.70 – $4.70 |
| 5 | Medica ind fee schedule · outpatient | $4.70 | $4.70 | $4.70 – $4.70 |
| 6 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $74.90 | $73.43 | $53.51 – $83.54 |
Last updated: Apr 1, 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.