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 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION
Claremore, OK
See all hospitals reporting HCPCS J2004 →Price type
AHS Claremore Hospital, LLC’s median price of $61 is 821% above the median hospital's median price ($7), higher than 92% 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: 5 payers, 10 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $38.45 | $35.66 | $21.73 – $38.45 |
| 2 | Oscar oscar insurance company [700500] facility · percent of total billed charges · bothfrom % of charges | $38.45 | $35.66 | $21.73 – $38.45 |
| 3 | UnitedHealthcare uhc compass hix [206019] facility · percent of total billed charges · bothfrom % of charges | $60.34 | $55.97 | $34.09 – $60.34 |
| 4 | UnitedHealthcare united healthcare charter [206031] facility · percent of total billed charges · bothfrom % of charges | $60.34 | $55.97 | $34.09 – $60.34 |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $60.60 | $56.21 | $34.24 – $60.60 |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $60.60 | $56.21 | $34.24 – $60.60 |
| 7 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $60.60 | $56.21 | $34.24 – $60.60 |
| 8 | Healthcare Highways taro health plan [221010] facility · percent of total billed charges · bothfrom % of charges | $60.60 | $56.21 | $34.24 – $60.60 |
| 9 | Aetna meritain aetna ardent employee [368502] facility · percent of total billed charges · bothfrom % of charges | $67.52 | $62.63 | $38.15 – $67.52 |
| 10 | Medica medica quest [291001] facility · percent of total billed charges · bothfrom % of charges | $86.90 | $80.60 | $49.10 – $86.90 |
Last updated: Mar 31, 2026
See Lidocaine with epinephrine injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.