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
Lido 2% Epi 1:100000 20ML Vial
Estherville, IA
See all hospitals reporting HCPCS J2004 →Price type
Avera Holy Family Hospital’s median price of $95 is 1344% above the median hospital's median price ($7), higher than 95% 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, 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 | 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 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $91.45 | $88.40 | $72.49 – $98.21 |
| 6 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $91.45 | $88.40 | $72.49 – $98.21 |
| 7 | Medica ind percent of total billed charges · inpatientfrom % of charges | $106.15 | $102.61 | $84.14 – $114.00 |
| 8 | Medica com percent of total billed charges · inpatientfrom % of charges | $126.08 | $121.87 | $99.94 – $135.39 |
| 9 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $139.30 | $134.66 | $110.42 – $149.60 |
| 10 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $139.30 | $134.66 | $110.42 – $149.60 |
| 11 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $150.24 | $145.23 | $119.09 – $161.35 |
| 12 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $150.24 | $145.23 | $119.09 – $161.35 |
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.