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
Waldron, AR
See all hospitals reporting HCPCS J2004 →Price type
Mercy Hospital Waldron’s median price of $15 is 130% above the median hospital's median price ($7), higher than 64% 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, 22 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 wldar ok managed medicaid facility · fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 2 | Humana hb wldar ok managed medicaid facility · fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 3 | Medicaid hb wldar ok medicaid facility · fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 4 | Aetna hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $14.54 | $14.54 | $14.54 – $14.54 |
| 5 | Blue Cross Blue Shield hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $14.54 | $14.54 | $14.54 – $14.54 |
| 6 | First Health hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $14.54 | $14.54 | $14.54 – $14.54 |
| 7 | Humana hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $14.54 | $14.54 | $14.54 – $14.54 |
| 8 | Medica hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $14.54 | $14.54 | $14.54 – $14.54 |
| 9 | Medicare hb wldar medicare facility · percent of total billed charges · outpatientfrom % of charges | $14.54 | $14.54 | $14.54 – $14.54 |
| 10 | UnitedHealthcare hb wldar managed mcr facility · percent of total billed charges · outpatientfrom % of charges | $14.54 | $14.54 | $14.54 – $14.54 |
| 11 | UnitedHealthcare hb wldar uhc mcr facility · percent of total billed charges · outpatientfrom % of charges | $14.54 | $14.54 | $14.54 – $14.54 |
| 12 | WellCare hb wldar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $14.97 | $14.97 | $14.97 – $14.97 |
| 13 | Anthem hb wldar,ozkar,prsar bcbs comm/exchange facility · fee schedule · outpatient | $15.00 | $15.00 | $15.00 – $15.00 |
| 14 | Blue Cross Blue Shield hb wldar,ozkar,prsar bcbs comm/exchange facility · fee schedule · outpatient | $15.00 | $15.00 | $15.00 – $15.00 |
| 15 | Devoted hb wldar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $15.12 | $15.12 | $15.12 – $15.12 |
| 16 | Cigna hb wldar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $15.26 | $15.26 | $15.26 – $15.26 |
| 17 | Tricare hb wldar tricare facility · percent of total billed charges · outpatientfrom % of charges | $16.67 | $16.67 | $16.67 – $16.67 |
| 18 | Ambetter hb wldar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $24.08 | $24.08 | $24.08 – $24.08 |
| 19 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $40.14 | $40.14 | $40.14 – $40.14 |
| 20 | Cigna hb wldar,ozkar,prsar cigna facility · percent of total billed charges · outpatientfrom % of charges | $52.49 | $52.49 | $52.49 – $52.49 |
| 21 | Humana hb wldar,ozkar,prsar humana facility · percent of total billed charges · outpatientfrom % of charges | $52.49 | $52.49 | $52.49 – $52.49 |
| 22 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $52.49 | $52.49 | $52.49 – $52.49 |
Last updated: Jun 8, 2026
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