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
Maple Grove, MN
See all hospitals reporting HCPCS J2004 →Price type
Fairview Maple Grove Surgery Center’s median price of $0 is 96% below the median hospital's median price ($7), higher than 35% 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, 16 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 | Blue Cross Blue Shield medicaid fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Medica accessability fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Medica ma non-snp fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Medica ma snp fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Medica medicaid fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | Medica prime solution fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | Medica vantage fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 8 | Medicaid medicaid fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 9 | Ucare mhcp fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 10 | UnitedHealthcare commercial fee schedule · both | $0.02 | $0.02 | $0.02 – $0.02 |
| 11 | Blue Cross Blue Shield commercial fee schedule · both | $0.07 | $0.07 | $0.07 – $0.07 |
| 12 | Blue Cross Blue Shield federal fee schedule · both | $0.07 | $0.07 | $0.07 – $0.07 |
| 13 | Ucare ifp percent of total billed charges · outpatientfrom % of charges | $0.22 | $0.41 | $0.04 – $5.00 |
| 14 | Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges | $0.22 | $0.41 | $0.04 – $5.00 |
| 15 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $0.37 | $0.68 | $0.06 – $8.20 |
| 16 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $0.39 | $0.70 | $0.06 – $8.50 |
Last updated: May 18, 2026
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