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 0.5 %-1:200,000 INJECTION SOLUTION
DYER, IN
See all hospitals reporting HCPCS J2004 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER’s median price of $26 is 288% above the median hospital's median price ($7), higher than 73% 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, 27 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Cigna cigna localplus-nid percent of total billed charges · bothfrom % of charges | $14.55 | $27.03 | $14.38 – $82.60 |
| 2 | Cigna cigna localplus [314004] percent of total billed charges · bothfrom % of charges | $14.55 | $27.19 | $14.55 – $82.60 |
| 3 | UnitedHealthcare bind/surest insurance [322006] percent of total billed charges · bothfrom % of charges | $16.32 | $30.49 | $16.32 – $92.64 |
| 4 | UnitedHealthcare definity health claims [115602] percent of total billed charges · bothfrom % of charges | $16.32 | $30.49 | $16.32 – $92.64 |
| 5 | UnitedHealthcare uhc nid-hammond-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $16.32 | $30.49 | $16.32 – $92.64 |
| 6 | UnitedHealthcare united healthcare choice [315037] percent of total billed charges · bothfrom % of charges | $16.32 | $30.49 | $16.32 – $92.64 |
| 7 | UnitedHealthcare united healthcare core [321009] percent of total billed charges · bothfrom % of charges | $16.32 | $30.49 | $16.32 – $92.64 |
| 8 | UnitedHealthcare united healthcare hmo [115604] percent of total billed charges · bothfrom % of charges | $16.32 | $30.49 | $16.32 – $92.64 |
| 9 | UnitedHealthcare united healthcare navigate [321010] percent of total billed charges · bothfrom % of charges | $16.32 | $30.49 | $16.32 – $92.64 |
| 10 | Bcbs Il st anthony health-nir-stmar&fhm&stant mc percent of total billed charges · bothfrom % of charges | $17.00 | $31.77 | $17.00 – $96.50 |
| 11 | Bcbs Il st anthony healthnetwork hmo [313054] percent of total billed charges · bothfrom % of charges | $17.00 | $31.77 | $17.00 – $96.50 |
| 12 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $22.10 | $33.67 | $13.94 – $125.45 |
| 13 | Aetna aetna [100507] percent of total billed charges · bothfrom % of charges | $22.10 | $41.30 | $22.10 – $125.45 |
| 14 | Aetna aetna choice ppo [100503] percent of total billed charges · bothfrom % of charges | $22.10 | $41.30 | $22.10 – $125.45 |
| 15 | Aetna aetna hmo/pos [300598] percent of total billed charges · bothfrom % of charges | $22.10 | $41.30 | $22.10 – $125.45 |
| 16 | Aetna aetna oap/pos state of illinois [317013] percent of total billed charges · bothfrom % of charges | $22.10 | $41.30 | $22.10 – $125.45 |
| 17 | Aetna aetna qchp state of illinois [317014] percent of total billed charges · bothfrom % of charges | $22.10 | $41.30 | $22.10 – $125.45 |
| 18 | Cigna cigna behavioral health-nir-st marg-dyer percent of total billed charges · bothfrom % of charges | $23.80 | $44.47 | $23.80 – $135.10 |
| 19 | Bcbs Il bc/bs of illinois hmo-nid-hammond-dyer percent of total billed charges · bothfrom % of charges | $25.50 | $47.65 | $25.50 – $144.75 |
| 20 | Bcbs Il hammond clinic attn hmo [313023] percent of total billed charges · bothfrom % of charges | $25.50 | $47.65 | $25.50 – $144.75 |
| 21 | Bcbs Il hmo illinois [312028] percent of total billed charges · bothfrom % of charges | $25.50 | $47.65 | $25.50 – $144.75 |
| 22 | UnitedHealthcare uhc options ppo-nid-ham-dyer-mun-crn pt percent of total billed charges · bothfrom % of charges | $25.50 | $47.65 | $25.50 – $144.75 |
| 23 | UnitedHealthcare united healthcare [115607] percent of total billed charges · bothfrom % of charges | $25.50 | $47.65 | $25.50 – $144.75 |
| 24 | UnitedHealthcare united healthcare [315698] percent of total billed charges · bothfrom % of charges | $25.50 | $47.65 | $25.50 – $144.75 |
| 25 | UnitedHealthcare united healthcare ppo [115605] percent of total billed charges · bothfrom % of charges | $25.50 | $47.65 | $25.50 – $144.75 |
Last updated: Jan 1, 2026
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