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-EPINEPHRINE (PF) 2 %-1:200000 IJ SOLN
St. Paul, MN
See all hospitals reporting HCPCS J2004 →Price type
Fairview Bethesda Hospital’s median price of $0 is 96% below the median hospital's median price ($7), higher than 34% 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, 42 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 | Bcbs Mn managed medicaid fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Medica medicare advantage fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Medica minnesota care/accessability/choice care government fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Medica msho fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Ucare pmap fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | UnitedHealthcare commercial fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | UnitedHealthcare core fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 8 | Bcbs Mn aware federal fee schedule · both | $0.07 | $0.07 | $0.07 – $0.07 |
| 9 | Bcbs Mn commercial fee schedule · both | $0.07 | $0.07 | $0.07 – $0.07 |
| 10 | Bcbs Mn managed medicaid percent of total billed charges · inpatientfrom % of charges | $0.11 | $0.36 | $0.02 – $11.80 |
| 11 | Bcbs Mn managed medicaid percent of total billed charges · outpatientfrom % of charges | $0.12 | $0.38 | $0.02 – $12.16 |
| 12 | Medica minnesota care/accessability/choice care government percent of total billed charges · inpatientfrom % of charges | $0.15 | $0.48 | $0.03 – $15.71 |
| 13 | Medica minnesota care/accessability/choice care government percent of total billed charges · outpatientfrom % of charges | $0.15 | $0.48 | $0.03 – $15.62 |
| 14 | Medica msho percent of total billed charges · inpatientfrom % of charges | $0.17 | $0.54 | $0.03 – $17.74 |
| 15 | Ucare pmap percent of total billed charges · inpatientfrom % of charges | $0.18 | $0.57 | $0.03 – $18.47 |
| 16 | Medica msho percent of total billed charges · outpatientfrom % of charges | $0.18 | $0.59 | $0.03 – $19.06 |
| 17 | Ucare individual and family percent of total billed charges · outpatientfrom % of charges | $0.21 | $0.68 | $0.04 – $22.06 |
| 18 | Ucare individual and family with m health fairview percent of total billed charges · outpatientfrom % of charges | $0.21 | $0.68 | $0.04 – $22.06 |
| 19 | UnitedHealthcare core percent of total billed charges · inpatientfrom % of charges | $0.23 | $0.72 | $0.04 – $23.37 |
| 20 | UnitedHealthcare core percent of total billed charges · outpatientfrom % of charges | $0.23 | $0.72 | $0.04 – $23.37 |
| 21 | Bcbs Mn aware federal percent of total billed charges · inpatientfrom % of charges | $0.24 | $0.76 | $0.04 – $24.80 |
| 22 | Bcbs Mn commercial percent of total billed charges · inpatientfrom % of charges | $0.24 | $0.77 | $0.04 – $25.25 |
| 23 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $0.24 | $0.77 | $0.04 – $25.20 |
| 24 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $0.24 | $0.78 | $0.04 – $25.20 |
| 25 | Bcbs Mn aware federal percent of total billed charges · outpatientfrom % of charges | $0.25 | $0.79 | $0.04 – $25.55 |
Last updated: Jan 29, 2026
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