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 1 %-1:100000 SOLN per 1 mg
LITCHFIELD, IL
See all hospitals reporting HCPCS J2004 →Price type
St Francis Hospital Sisters Of The Third Order Of St Francis’s median price of $0 is 97% below the median hospital's median price ($7), higher than 34% 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: 8 payers, 16 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 aetna medicare percent of total billed charges · bothfrom % of charges | $0.06 | $0.07 | $0.06 – $0.10 |
| 2 | Bcbs Il bcbs il medicare percent of total billed charges · bothfrom % of charges | $0.06 | $0.07 | $0.05 – $0.09 |
| 3 | Bcbs Il bcbs il mmai percent of total billed charges · bothfrom % of charges | $0.06 | $0.07 | $0.06 – $0.10 |
| 4 | Bcbs Il blue cross blue shield of illinois medicare adv percent of total billed charges · bothfrom % of charges | $0.06 | $0.07 | $0.06 – $0.10 |
| 5 | Humana humana medicare percent of total billed charges · bothfrom % of charges | $0.06 | $0.07 | $0.05 – $0.09 |
| 6 | Molina molina medicare percent of total billed charges · bothfrom % of charges | $0.06 | $0.07 | $0.05 – $0.09 |
| 7 | UnitedHealthcare all commercial united healthcare fee schedule · both | $0.07 | $0.07 | $0.07 – $0.07 |
| 8 | UnitedHealthcare united health care medicare percent of total billed charges · bothfrom % of charges | $0.06 | $0.07 | $0.06 – $0.10 |
| 9 | Aetna aetna hshs percent of total billed charges · bothfrom % of charges | $0.15 | $0.18 | $0.14 – $0.24 |
| 10 | Aetna all commercial aetna percent of total billed charges · bothfrom % of charges | $0.20 | $0.23 | $0.18 – $0.32 |
| 11 | First Health all commercial first health network percent of total billed charges · bothfrom % of charges | $0.21 | $0.24 | $0.19 – $0.33 |
| 12 | MultiPlan all commercial multiplan percent of total billed charges · bothfrom % of charges | $0.24 | $0.28 | $0.21 – $0.38 |
| 13 | Cigna all commercial cigna percent of total billed charges · bothfrom % of charges | $0.25 | $0.29 | $0.22 – $0.40 |
| 14 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $0.28 | $0.33 | $0.25 – $0.45 |
| 15 | Bcbs Il bcbs il blue choice plans percent of total billed charges · bothfrom % of charges | $18.00 | $18.00 | $18.00 – $18.00 |
| 16 | Bcbs Il bcbs of illinois ppo percent of total billed charges · bothfrom % of charges | $112.80 | $112.80 | $112.80 – $112.80 |
Last updated: Mar 24, 2026
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