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%-EPINEPHRINE 1:100,000 2 %-1:100000 SOLUTION
Graceville, MN
See all hospitals reporting HCPCS J2004 →Price type
Essentia Health Holy Trinity Hospital’s median price of $0 is 97% below the median hospital's median price ($7), higher than 33% 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, 33 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $0.15 | $0.14 | $0.03 – $0.24 |
| 2 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $0.15 | $0.14 | $0.03 – $0.24 |
| 3 | Healthpartners medicaid facility · percent of total billed charges · inpatientfrom % of charges | $0.15 | $0.15 | $0.09 – $0.20 |
| 4 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $0.21 | $0.21 | $0.13 – $0.28 |
| 5 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $0.23 | $0.22 | $0.05 – $0.37 |
| 6 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $0.23 | $0.23 | $0.05 – $0.38 |
| 7 | Healthpartners shp facility · percent of total billed charges · inpatientfrom % of charges | $0.23 | $0.23 | $0.14 – $0.31 |
| 8 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $0.23 | $0.23 | $0.05 – $0.38 |
| 9 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $0.23 | $0.23 | $0.05 – $0.38 |
| 10 | Medica medicaid facility · percent of total billed charges · inpatientfrom % of charges | $0.23 | $0.23 | $0.14 – $0.32 |
| 11 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $0.23 | $0.23 | $0.05 – $0.38 |
| 12 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $0.23 | $0.23 | $0.05 – $0.38 |
| 13 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $0.25 | $0.24 | $0.05 – $0.41 |
| 14 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $0.25 | $0.24 | $0.05 – $0.41 |
| 15 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $0.25 | $0.24 | $0.05 – $0.40 |
| 16 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $0.24 | $0.25 | $0.04 – $0.53 |
| 17 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $0.25 | $0.25 | $0.15 – $0.34 |
| 18 | Healthpartners commercial facility · percent of total billed charges · inpatientfrom % of charges | $0.25 | $0.25 | $0.15 – $0.34 |
| 19 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $0.25 | $0.25 | $0.15 – $0.34 |
| 20 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $0.26 | $0.26 | $0.16 – $0.36 |
| 21 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $0.31 | $0.30 | $0.07 – $0.51 |
| 22 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $0.31 | $0.30 | $0.07 – $0.51 |
| 23 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $0.32 | $0.31 | $0.07 – $0.52 |
| 24 | Medica commercial-fi facility · percent of total billed charges · inpatientfrom % of charges | $0.31 | $0.31 | $0.19 – $0.42 |
| 25 | Medica commercial-si facility · percent of total billed charges · inpatientfrom % of charges | $0.31 | $0.31 | $0.19 – $0.42 |
Last updated: Jan 1, 2026
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