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 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION
Columbus, KS
See all hospitals reporting HCPCS J2004 →Price type
Mercy Hospital Columbus’s median price of $12 is 86% above the median hospital's median price ($7), higher than 60% 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, 29 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 mnck blue cross kansas choice/ppo facility · fee schedule · outpatient | $3.71 | $3.71 | $2.47 – $4.94 |
| 2 | Blue Cross Blue Shield hb mnck blue cross kansas choice/ppo facility · fee schedule · outpatient | $3.71 | $3.71 | $2.47 – $4.94 |
| 3 | Blue Cross Blue Shield hb mnck blue cross kansas traditional facility · fee schedule · outpatient | $3.90 | $3.90 | $2.60 – $5.20 |
| 4 | Blue Cross Blue Shield hb mnck managed mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $7.33 | $7.33 | $7.28 – $7.38 |
| 5 | Medicaid hb mnck mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $7.33 | $7.33 | $7.28 – $7.38 |
| 6 | UnitedHealthcare hb mnck managed mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $7.33 | $7.33 | $7.28 – $7.38 |
| 7 | Blue Cross Blue Shield hb mnck ks medicaid facility · fee schedule · outpatient | $9.00 | $9.00 | $6.00 – $12.00 |
| 8 | Medicaid hb mnck ks medicaid facility · fee schedule · outpatient | $9.00 | $9.00 | $6.00 – $12.00 |
| 9 | Aetna hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 10 | Ambetter hb mnck ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 11 | Blue Cross Blue Shield hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 12 | Blue Cross Blue Shield hb mnck medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 13 | Cigna hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 14 | Humana hb mnck humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 15 | Medica hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 16 | Medicare hb mnck medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 17 | UnitedHealthcare hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 18 | WellCare hb mnck humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 19 | WellCare hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $10.08 | $10.08 | $10.01 – $10.15 |
| 20 | Devoted hb mnck devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $10.48 | $10.48 | $10.40 – $10.55 |
| 21 | Tricare hb mnck tricare facility · percent of total billed charges · outpatientfrom % of charges | $26.70 | $26.70 | $26.51 – $26.89 |
| 22 | UnitedHealthcare hb mnck uhc exchanage facility · percent of total billed charges · outpatientfrom % of charges | $27.13 | $27.13 | $26.94 – $27.32 |
| 23 | Optum hb mnck uhc facility · percent of total billed charges · outpatientfrom % of charges | $30.43 | $30.43 | $30.21 – $30.64 |
| 24 | UnitedHealthcare hb mnck uhc facility · percent of total billed charges · outpatientfrom % of charges | $30.43 | $30.43 | $30.21 – $30.64 |
| 25 | Medica hb casv/mnck medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $32.85 | $32.85 | $32.61 – $33.08 |
Last updated: Jun 9, 2026
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