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
Kingfisher, OK
See all hospitals reporting HCPCS J2004 →Price type
Mercy Hospital Kingfisher, Inc’s median price of $19 is 192% above the median hospital's median price ($7), higher than 68% 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 | Aetna hb kgfer ok medicaid (soonercare) facility · fee schedule · outpatient | $4.00 | $4.00 | $4.00 – $4.00 |
| 2 | Humana hb kgfer ok medicaid (soonercare) facility · fee schedule · outpatient | $4.00 | $4.00 | $4.00 – $4.00 |
| 3 | Medicaid hb kgfer ok medicaid (soonercare) facility · fee schedule · outpatient | $4.00 | $4.00 | $4.00 – $4.00 |
| 4 | Ambetter hb kgfer ambetter exchange medicare facility · percent of total billed charges · outpatientfrom % of charges | $11.31 | $11.31 | $11.31 – $11.31 |
| 5 | UnitedHealthcare hb kgfer uhc medicare new 040122 w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $15.90 | $15.90 | $15.90 – $15.90 |
| 6 | Blue Cross Blue Shield hb kgfer blue cross advantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $17.34 | $17.34 | $17.34 – $17.34 |
| 7 | Aetna hb kgfer aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $18.43 | $18.43 | $18.43 – $18.43 |
| 8 | Blue Cross Blue Shield hb kgfer blue cross preferred facility · percent of total billed charges · outpatientfrom % of charges | $18.47 | $18.47 | $18.47 – $18.47 |
| 9 | Blue Cross Blue Shield hb kgfer blue lincs facility · percent of total billed charges · outpatientfrom % of charges | $18.47 | $18.47 | $18.47 – $18.47 |
| 10 | Aetna hb kgfer managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $19.22 | $19.22 | $19.22 – $19.22 |
| 11 | Blue Cross Blue Shield hb kgfer managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $19.22 | $19.22 | $19.22 – $19.22 |
| 12 | First Health hb kgfer managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $19.22 | $19.22 | $19.22 – $19.22 |
| 13 | Humana hb kgfer managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $19.22 | $19.22 | $19.22 – $19.22 |
| 14 | Tricare hb kgfer managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $19.22 | $19.22 | $19.22 – $19.22 |
| 15 | UnitedHealthcare hb kgfer managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $19.22 | $19.22 | $19.22 – $19.22 |
| 16 | WellCare hb kgfer managed medicare 100% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $19.22 | $19.22 | $19.22 – $19.22 |
| 17 | Medica hb kgfer medica medicare new 031523 facility · percent of total billed charges · outpatientfrom % of charges | $19.23 | $19.23 | $19.23 – $19.23 |
| 18 | Medicare hb kgfer medicare facility · percent of total billed charges · outpatientfrom % of charges | $19.23 | $19.23 | $19.23 – $19.23 |
| 19 | Blue Cross Blue Shield hb kgfer blue traditional facility · percent of total billed charges · outpatientfrom % of charges | $19.60 | $19.60 | $19.60 – $19.60 |
| 20 | Blue Cross Blue Shield hb kgfer bcbs of ok nativeblue mcr 103% (no seq) facility · percent of total billed charges · outpatientfrom % of charges | $20.19 | $20.19 | $20.19 – $20.19 |
| 21 | Cigna hb kgfer cigna mcr 103% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $20.19 | $20.19 | $20.19 – $20.19 |
| 22 | Devoted hb kgfer devoted health mcr 104% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $20.38 | $20.38 | $20.38 – $20.38 |
| 23 | Anthem hb kgfer blue choice facility · percent of total billed charges · outpatientfrom % of charges | $20.73 | $20.73 | $20.73 – $20.73 |
| 24 | Blue Cross Blue Shield hb kgfer blue choice facility · percent of total billed charges · outpatientfrom % of charges | $20.73 | $20.73 | $20.73 – $20.73 |
| 25 | Cigna hb kgfer cigna facility · percent of total billed charges · outpatientfrom % of charges | $25.63 | $25.63 | $25.63 – $25.63 |
Last updated: Jun 11, 2026
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