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 %-1:200,000 INJECTION SOLUTION
Carthage, MO
See all hospitals reporting HCPCS J2004 →Price type
Mercy Hospital Carthage’s median price of $26 is 291% 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: 16 payers, 35 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 | Anthem hb cthg anthem alliance facility · fee schedule · outpatient | $3.25 | $3.63 | $2.00 – $6.00 |
| 2 | Anthem hb cthg anthem blue access/access choice facility · fee schedule · outpatient | $3.25 | $3.63 | $2.00 – $6.00 |
| 3 | Blue Cross Blue Shield hb cthg anthem alliance facility · fee schedule · outpatient | $3.25 | $3.63 | $2.00 – $6.00 |
| 4 | Blue Cross Blue Shield hb cthg anthem blue access/access choice facility · fee schedule · outpatient | $3.25 | $3.63 | $2.00 – $6.00 |
| 5 | Blue Cross Blue Shield hb cthg anthem blue preferred facility · fee schedule · outpatient | $3.25 | $3.63 | $2.00 – $6.00 |
| 6 | Blue Cross Blue Shield hb cthg anthem pathways exchange facility · fee schedule · outpatient | $3.25 | $3.63 | $2.00 – $6.00 |
| 7 | Blue Cross Blue Shield hb cthg anthem traditional facility · fee schedule · outpatient | $3.25 | $3.63 | $2.00 – $6.00 |
| 8 | Blue Cross Blue Shield hb cthg kancare healthy blue medicaid new 1.1.25 facility · fee schedule · outpatient | $3.25 | $3.63 | $2.00 – $6.00 |
| 9 | Medicaid hb cthg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $7.74 | $13.02 | $6.05 – $30.55 |
| 10 | UnitedHealthcare hb cthg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $7.74 | $13.02 | $6.05 – $30.55 |
| 11 | Aetna hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.63 | $17.88 | $8.30 – $41.96 |
| 12 | Aetna hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.63 | $17.88 | $8.30 – $41.96 |
| 13 | Blue Cross Blue Shield hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.63 | $17.88 | $8.30 – $41.96 |
| 14 | Blue Cross Blue Shield hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.63 | $17.88 | $8.30 – $41.96 |
| 15 | Cigna hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.63 | $17.88 | $8.30 – $41.96 |
| 16 | Humana hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.63 | $17.88 | $8.30 – $41.96 |
| 17 | Medica hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.63 | $17.88 | $8.30 – $41.96 |
| 18 | Medicare hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.63 | $17.88 | $8.30 – $41.96 |
| 19 | UnitedHealthcare hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.63 | $17.88 | $8.30 – $41.96 |
| 20 | UnitedHealthcare hb cthg uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $10.63 | $17.88 | $8.30 – $41.96 |
| 21 | Tricare hb cthg tricare facility · percent of total billed charges · outpatientfrom % of charges | $10.67 | $17.95 | $8.34 – $42.12 |
| 22 | WellCare hb cthg wellcare medicare 103% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $10.94 | $18.41 | $8.55 – $43.21 |
| 23 | Devoted hb cthg devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $11.05 | $18.60 | $8.64 – $43.64 |
| 24 | Humana hb cthg humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $11.61 | $19.53 | $9.07 – $45.83 |
| 25 | Blue Cross Blue Shield hb cthg mo care/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $20.89 | $35.15 | $16.32 – $82.49 |
Last updated: Jun 9, 2026
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