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 2% 100 MG/5 ML Syr
Estherville, IA
See all hospitals reporting HCPCS J2003 →Price type
Avera Holy Family Hospital’s median price of $106 is 1288% above the median hospital's median price ($8), higher than 97% of the 1,805 hospitals reporting HCPCS J2003. 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, 12 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 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $88.67 | $84.96 | $64.23 – $97.19 |
| 4 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $88.67 | $84.96 | $64.23 – $97.19 |
| 5 | Medica ind percent of total billed charges · inpatientfrom % of charges | $102.92 | $98.61 | $74.56 – $112.81 |
| 6 | Medica com percent of total billed charges · inpatientfrom % of charges | $122.24 | $117.12 | $88.55 – $133.99 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $135.06 | $129.41 | $97.84 – $148.05 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $135.06 | $129.41 | $97.84 – $148.05 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $145.67 | $139.58 | $105.52 – $159.68 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $145.67 | $139.58 | $105.52 – $159.68 |
| 11 | Medica com fee schedule · outpatient | $365.96 | $365.96 | $365.96 – $365.96 |
| 12 | Medica ind fee schedule · outpatient | $365.96 | $365.96 | $365.96 – $365.96 |
Last updated: Apr 1, 2026
See Lidocaine local anesthetic injection, preservative-free 1% pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.