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
INJECTION, LIDOCAINE HCL WITH EPINEPHRINE, 1 MG
Clearlake, CA
See all hospitals reporting HCPCS J2004 →Price type
Adventist Health Clearlake Hospital Inc’s median price of $3 is 48% below the median hospital's median price ($7), higher than 46% 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, 19 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 uhc all payer - all other plans fee schedule · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 2 | UnitedHealthcare uhc jll fee schedule · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 3 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 4 | Blue Cross Blue Shield blue shield mcr adv percent of total billed charges · outpatientfrom % of charges | $1.03 | $6.75 | $0.23 – $21.70 |
| 5 | Blue Cross Blue Shield tricare blue shield- all plans percent of total billed charges · outpatientfrom % of charges | $1.03 | $6.75 | $0.23 – $21.70 |
| 6 | Kaiser kaiser mcr adv percent of total billed charges · outpatientfrom % of charges | $1.03 | $6.75 | $0.23 – $21.70 |
| 7 | Blue Cross Blue Shield blue cross mcr adv percent of total billed charges · outpatientfrom % of charges | $1.08 | $7.02 | $0.24 – $22.57 |
| 8 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $1.13 | $7.42 | $0.25 – $23.87 |
| 9 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $3.33 | $21.80 | $0.74 – $70.10 |
| 10 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $3.33 | $21.80 | $0.74 – $70.10 |
| 11 | Aetna aetna- all plans percent of total billed charges · outpatientfrom % of charges | $3.67 | $24.01 | $0.81 – $77.22 |
| 12 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $3.77 | $24.68 | $0.84 – $79.37 |
| 13 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $3.77 | $24.68 | $0.84 – $79.37 |
| 14 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $3.93 | $25.71 | $0.87 – $82.68 |
| 15 | Humana humana- all plans percent of total billed charges · outpatientfrom % of charges | $4.17 | $27.31 | $0.93 – $87.85 |
| 16 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $4.17 | $27.31 | $0.93 – $87.85 |
| 17 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $4.42 | $28.92 | $0.98 – $93.02 |
| 18 | Kaiser kaiser- all other plans percent of total billed charges · outpatientfrom % of charges | $4.42 | $28.92 | $0.98 – $93.02 |
| 19 | Medicaid medi-cal fee schedule · outpatient | $4.91 | $32.13 | $1.09 – $103.35 |
Last updated: Jul 29, 2026
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