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
Ozark, AR
See all hospitals reporting HCPCS J2004 →Price type
Mercy Hospital Ozark’s median price of $14 is 110% above the median hospital's median price ($7), higher than 62% 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: 15 payers, 21 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 ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $7.41 | $9.52 | $7.31 – $13.83 |
| 2 | Blue Cross Blue Shield hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $7.41 | $9.52 | $7.31 – $13.83 |
| 3 | First Health hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $7.41 | $9.52 | $7.31 – $13.83 |
| 4 | Humana hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $7.41 | $9.52 | $7.31 – $13.83 |
| 5 | Medica hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $7.41 | $9.52 | $7.31 – $13.83 |
| 6 | Medicare hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $7.41 | $9.52 | $7.31 – $13.83 |
| 7 | Medicare hb ozkar medicare facility · percent of total billed charges · outpatientfrom % of charges | $7.41 | $9.52 | $7.31 – $13.83 |
| 8 | UnitedHealthcare hb ozkar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $7.41 | $9.52 | $7.31 – $13.83 |
| 9 | UnitedHealthcare hb ozkar uhc mcr facility · percent of total billed charges · outpatientfrom % of charges | $7.41 | $9.52 | $7.31 – $13.83 |
| 10 | WellCare hb ozkar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $7.63 | $9.80 | $7.53 – $14.24 |
| 11 | Devoted hb ozkar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $7.71 | $9.90 | $7.60 – $14.38 |
| 12 | Cigna hb ozkar healthspring cigna 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $7.78 | $9.99 | $7.67 – $14.52 |
| 13 | Tricare hb ozkar tricare facility · percent of total billed charges · outpatientfrom % of charges | $7.96 | $10.22 | $7.85 – $14.85 |
| 14 | Medicaid hb ozkar ok medicaid facility · fee schedule · outpatient | $8.00 | $10.67 | $4.00 – $20.00 |
| 15 | Ambetter hb ozkar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $10.93 | $14.03 | $10.77 – $20.39 |
| 16 | Anthem hb wldar,ozkar,prsar bcbs comm/exchange facility · fee schedule · outpatient | $12.00 | $16.00 | $6.00 – $30.00 |
| 17 | Blue Cross Blue Shield hb wldar,ozkar,prsar bcbs comm/exchange facility · fee schedule · outpatient | $12.00 | $16.00 | $6.00 – $30.00 |
| 18 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $17.54 | $22.52 | $17.29 – $32.73 |
| 19 | Cigna hb wldar,ozkar,prsar cigna facility · percent of total billed charges · outpatientfrom % of charges | $22.93 | $29.45 | $22.61 – $42.80 |
| 20 | Humana hb wldar,ozkar,prsar humana facility · percent of total billed charges · outpatientfrom % of charges | $22.93 | $29.45 | $22.61 – $42.80 |
| 21 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $22.93 | $29.45 | $22.61 – $42.80 |
Last updated: Jun 8, 2026
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