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 50ML
Sioux Falls, SD
See all hospitals reporting HCPCS J2004 →Price type
Avera Heart Hospital’s median price of $22 is 228% above the median hospital's median price ($7), higher than 70% 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, 9 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 | Medica com fee schedule · outpatient | $4.70 | $4.70 | $4.70 – $4.70 |
| 4 | Medica ind fee schedule · outpatient | $4.70 | $4.70 | $4.70 – $4.70 |
| 5 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $46.67 | $56.56 | $43.14 – $89.75 |
| 6 | Medica ind percent of total billed charges · inpatientfrom % of charges | $57.71 | $69.94 | $53.35 – $110.99 |
| 7 | Medica com percent of total billed charges · inpatientfrom % of charges | $67.86 | $82.24 | $62.74 – $130.51 |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $75.82 | $91.89 | $70.10 – $145.82 |
| 9 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $75.82 | $91.89 | $70.10 – $145.82 |
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.