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 IJ SOLN
Washington Court House, OH
See all hospitals reporting HCPCS J2004 →Price type
Adena Fayette Medical Center’s median price of $69 is 943% above the median hospital's median price ($7), higher than 93% 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, 26 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $33.56 | $34.39 | $13.26 – $78.70 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $52.92 | $54.24 | $20.91 – $124.11 |
| 3 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $52.92 | $54.24 | $20.91 – $124.11 |
| 4 | Medical Mutual medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $52.92 | $54.24 | $20.91 – $124.11 |
| 5 | Molina medicare advantage/dual facility · percent of total billed charges · outpatientfrom % of charges | $52.92 | $54.24 | $20.91 – $124.11 |
| 6 | Caresource medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $53.99 | $55.32 | $21.32 – $126.59 |
| 7 | Anthem hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $56.67 | $58.07 | $22.38 – $132.89 |
| 8 | Anthem hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $62.22 | $63.76 | $24.58 – $145.91 |
| 9 | Anthem blue preferred/blue access facility · percent of total billed charges · inpatientfrom % of charges | $77.71 | $79.64 | $30.70 – $182.23 |
| 10 | Anthem blue preferred/blue access facility · percent of total billed charges · outpatientfrom % of charges | $78.48 | $80.43 | $31.00 – $184.05 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $80.77 | $82.94 | $31.77 – $190.40 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $80.77 | $82.94 | $31.77 – $190.40 |
| 13 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $83.77 | $85.85 | $33.09 – $196.46 |
| 14 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $84.55 | $86.65 | $33.40 – $198.28 |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $88.94 | $91.15 | $35.13 – $208.57 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $88.94 | $91.15 | $35.13 – $208.57 |
| 17 | Medical Mutual commercial facility · percent of total billed charges · inpatientfrom % of charges | $97.42 | $99.84 | $38.48 – $228.46 |
| 18 | Medical Mutual commercial facility · percent of total billed charges · outpatientfrom % of charges | $97.42 | $99.84 | $38.48 – $228.46 |
| 19 | Medical Mutual hmo/ppo/pos/preferred facility · percent of total billed charges · inpatientfrom % of charges | $97.42 | $99.84 | $38.48 – $228.46 |
| 20 | Medical Mutual hmo/ppo/pos/preferred facility · percent of total billed charges · outpatientfrom % of charges | $97.42 | $99.84 | $38.48 – $228.46 |
| 21 | Medical Mutual traditional commercial facility · percent of total billed charges · inpatientfrom % of charges | $97.42 | $99.84 | $38.48 – $228.46 |
| 22 | Medical Mutual traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $97.42 | $99.84 | $38.48 – $228.46 |
| 23 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $101.20 | $103.71 | $39.98 – $237.32 |
| 24 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $101.20 | $103.71 | $39.98 – $237.32 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $102.23 | $104.77 | $40.38 – $239.75 |
Last updated: Aug 19, 2026
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