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
Tulsa, OK
See all hospitals reporting HCPCS J2004 →Price type
AHS Southcrest Hospital, LLC’s median price of $66 is 905% 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: 7 payers, 14 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 [126008] facility · percent of total billed charges · bothfrom % of charges | $17.23 | $13.42 | $5.43 – $17.23 |
| 2 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $38.45 | $29.95 | $12.12 – $38.45 |
| 3 | Oscar oscar insurance company [700500] facility · percent of total billed charges · bothfrom % of charges | $38.45 | $29.95 | $12.12 – $38.45 |
| 4 | Aetna aetna aco wilco [101532] facility · percent of total billed charges · bothfrom % of charges | $52.84 | $50.73 | $21.28 – $67.52 |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $66.13 | $51.51 | $20.85 – $66.13 |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $66.13 | $51.51 | $20.85 – $66.13 |
| 7 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $66.13 | $51.51 | $20.85 – $66.13 |
| 8 | Healthcare Highways taro health plan [221010] facility · percent of total billed charges · bothfrom % of charges | $66.13 | $51.51 | $20.85 – $66.13 |
| 9 | Aetna meritain aetna ardent employee [368502] facility · percent of total billed charges · bothfrom % of charges | $67.52 | $52.59 | $21.28 – $67.52 |
| 10 | Medica medica quest [291001] facility · percent of total billed charges · bothfrom % of charges | $90.59 | $70.56 | $28.55 – $90.59 |
| 11 | MultiPlan providence health plan [168004] facility · percent of total billed charges · bothfrom % of charges | $90.59 | $70.56 | $28.55 – $90.59 |
| 12 | Phcs lifestyle health plans [178013] facility · percent of total billed charges · bothfrom % of charges | $115.35 | $89.85 | $36.36 – $115.35 |
| 13 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $123.04 | $95.84 | $38.78 – $123.04 |
| 14 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $123.04 | $95.84 | $38.78 – $123.04 |
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.