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
Tehachapi, CA
See all hospitals reporting HCPCS J2004 →Price type
Adventist Health Medical Center Tehachapi’s median price of $14 is 113% above the median hospital's median price ($7), higher than 63% 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: 6 payers, 15 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 | Cigna cigna- all plans fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | UnitedHealthcare uhc all payer- all other plans fee schedule · outpatient | $0.01 | $0.03 | $0.01 – $0.12 |
| 3 | UnitedHealthcare uhc jll csp fee schedule · outpatient | $0.01 | $0.03 | $0.01 – $0.12 |
| 4 | Blue Cross Blue Shield tricare blue shield percent of total billed charges · outpatientfrom % of charges | $22.80 | $22.80 | $22.80 – $22.80 |
| 5 | Kaiser kaiser medicare ip/op only percent of total billed charges · outpatientfrom % of charges | $22.80 | $22.80 | $22.80 – $22.80 |
| 6 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $22.80 | $22.80 | $22.80 – $22.80 |
| 7 | Medicaid medi-cal fee schedule · outpatient | $14.00 | $31.80 | $3.00 – $120.00 |
| 8 | Kaiser kaiser ip/op only- all other plans percent of total billed charges · outpatientfrom % of charges | $39.22 | $39.22 | $39.22 – $39.22 |
| 9 | Blue Cross Blue Shield blue shield epn- all other plans percent of total billed charges · outpatientfrom % of charges | $50.76 | $50.76 | $50.76 – $50.76 |
| 10 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $53.41 | $53.41 | $53.41 – $53.41 |
| 11 | Aetna aetna-all plans fee schedule · outpatient | $0.05 | $55.12 | $0.05 – $275.40 |
| 12 | Blue Cross Blue Shield blue cross non-mcs- all other plans case rate · outpatient | $59.34 | $59.34 | $59.34 – $59.34 |
| 13 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $60.00 | $60.00 | $60.00 – $60.00 |
| 14 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $93.72 | $93.72 | $93.72 – $93.72 |
| 15 | Kaiser kaiser medi-cal ip/op only fee schedule · outpatient | $120.00 | $120.00 | $120.00 – $120.00 |
Last updated: May 21, 2026
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