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 INJ SOLN
Windom, MN
See all hospitals reporting HCPCS J2004 →Price type
Windom Area Hospital’s median price of $15 is 126% 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: 9 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 | UnitedHealthcare medicare replacement facility · other · inpatient | $8.51 | $8.51 | $8.51 – $8.51 |
| 2 | Bcbs Mn pmap facility · percent of total billed charges · inpatientfrom % of charges | $8.21 | $11.64 | $6.69 – $23.44 |
| 3 | Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges | $8.21 | $11.64 | $6.69 – $23.44 |
| 4 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $8.21 | $11.64 | $6.69 – $23.44 |
| 5 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $8.21 | $11.64 | $6.69 – $23.44 |
| 6 | Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $9.51 | $13.48 | $7.74 – $27.15 |
| 7 | Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $9.51 | $13.48 | $7.74 – $27.15 |
| 8 | Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $9.51 | $13.48 | $7.74 – $27.15 |
| 9 | Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $9.51 | $13.48 | $7.74 – $27.15 |
| 10 | Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $9.51 | $13.48 | $7.74 – $27.15 |
| 11 | UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $9.51 | $13.48 | $7.74 – $27.15 |
| 12 | Medica pmap facility · percent of total billed charges · inpatientfrom % of charges | $10.74 | $15.22 | $8.75 – $30.66 |
| 13 | Medica pmap facility · percent of total billed charges · outpatientfrom % of charges | $10.74 | $15.22 | $8.75 – $30.66 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $17.68 | $25.06 | $14.40 – $50.47 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $17.68 | $25.06 | $14.40 – $50.47 |
| 16 | Bcbs Mn commercial facility · percent of total billed charges · outpatientfrom % of charges | $18.13 | $25.69 | $14.76 – $51.76 |
| 17 | Bcbs Nd commercial facility · percent of total billed charges · outpatientfrom % of charges | $18.13 | $25.69 | $14.76 – $51.76 |
| 18 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $18.13 | $25.69 | $14.76 – $51.76 |
| 19 | Wellmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $18.13 | $25.69 | $14.76 – $51.76 |
| 20 | Medica commercial facility · percent of total billed charges · inpatientfrom % of charges | $20.23 | $28.67 | $16.47 – $57.75 |
| 21 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $20.23 | $28.67 | $16.47 – $57.75 |
Last updated: Feb 3, 2026
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