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 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION
Aurora, MO
See all hospitals reporting HCPCS J2004 →Price type
Mercy Hospital Aurora’s median price of $28 is 324% above the median hospital's median price ($7), higher than 75% 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: 16 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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| # | ||||
|---|---|---|---|---|
| 1 | Medicaid hb aura mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $13.20 | $13.39 | $5.28 – $21.86 |
| 2 | UnitedHealthcare hb aura uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $13.20 | $13.39 | $5.28 – $21.86 |
| 3 | Aetna hb aura managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.84 | $17.08 | $6.74 – $27.88 |
| 4 | Blue Cross Blue Shield hb aura managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.84 | $17.08 | $6.74 – $27.88 |
| 5 | Blue Cross Blue Shield hb aura medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.84 | $17.08 | $6.74 – $27.88 |
| 6 | Cigna hb aura managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.84 | $17.08 | $6.74 – $27.88 |
| 7 | Humana hb aura managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.84 | $17.08 | $6.74 – $27.88 |
| 8 | Medica hb aura managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.84 | $17.08 | $6.74 – $27.88 |
| 9 | Medicare hb aura medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.84 | $17.08 | $6.74 – $27.88 |
| 10 | UnitedHealthcare hb aura medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.84 | $17.08 | $6.74 – $27.88 |
| 11 | UnitedHealthcare hb aura uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $16.84 | $17.08 | $6.74 – $27.88 |
| 12 | WellCare hb aura wellcare medicare 103% facility · percent of total billed charges · outpatientfrom % of charges | $17.34 | $17.58 | $6.94 – $28.71 |
| 13 | Devoted hb aura devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $17.52 | $17.76 | $7.01 – $28.99 |
| 14 | Blue Cross Blue Shield hb aura mo care/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $18.49 | $18.74 | $7.40 – $30.60 |
| 15 | Tricare hb aura tricare facility · percent of total billed charges · outpatientfrom % of charges | $19.21 | $19.48 | $7.69 – $31.80 |
| 16 | Ambetter hb aura ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $33.47 | $33.93 | $13.39 – $55.40 |
| 17 | Blue Cross Blue Shield hb aura anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $48.19 | $48.86 | $19.29 – $79.77 |
| 18 | Blue Cross Blue Shield hb aura anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $50.17 | $50.87 | $20.08 – $83.05 |
| 19 | Medica hb aura bryv medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $55.85 | $56.62 | $22.35 – $92.45 |
| 20 | Cigna hb aura cigna-hmo facility · percent of total billed charges · outpatientfrom % of charges | $56.11 | $56.89 | $22.46 – $92.89 |
| 21 | Cigna hb aura cigna-ppo facility · percent of total billed charges · outpatientfrom % of charges | $56.11 | $56.89 | $22.46 – $92.89 |
| 22 | First Health hb aura coventry health care inc-first health leased business facility · percent of total billed charges · outpatientfrom % of charges | $56.11 | $56.89 | $22.46 – $92.89 |
| 23 | Humana hb aura humana commercial (hmo & ppo) facility · percent of total billed charges · outpatientfrom % of charges | $56.11 | $56.89 | $22.46 – $92.89 |
| 24 | Blue Cross Blue Shield hb aura anthem pathway exchange facility · percent of total billed charges · outpatientfrom % of charges | $58.09 | $58.90 | $23.25 – $96.17 |
| 25 | Optum hb aura uhc facility · percent of total billed charges · outpatientfrom % of charges | $58.09 | $58.90 | $23.25 – $96.17 |
Last updated: Jun 10, 2026
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