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 (PF) 2 %-1:200000 INJECTION SOLUTION
Plainview, NE
See all hospitals reporting HCPCS J2004 →Price type
Alegent Creighton Health’s median price of $96 is 1352% above the median hospital's median price ($7), higher than 96% 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, 23 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 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $60.70 | $60.70 | $60.70 – $60.70 |
| 2 | Humana medicare|all plans fee schedule · outpatient | $60.70 | $60.70 | $60.70 – $60.70 |
| 3 | Medica medicare|all plans fee schedule · outpatient | $60.70 | $60.70 | $60.70 – $60.70 |
| 4 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $60.70 | $60.70 | $60.70 – $60.70 |
| 5 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $64.68 | $64.68 | $64.68 – $64.68 |
| 6 | Blue Cross Blue Shield commercial|blueprint fee schedule · inpatient | $89.80 | $89.80 | $89.80 – $89.80 |
| 7 | Blue Cross Blue Shield commercial|blueprint fee schedule · outpatient | $89.80 | $89.80 | $89.80 – $89.80 |
| 8 | Medica commercial|all other plans fee schedule · inpatient | $90.55 | $90.55 | $90.55 – $90.55 |
| 9 | Medica commercial|all other plans fee schedule · outpatient | $90.55 | $90.55 | $90.55 – $90.55 |
| 10 | Medica commercial|chi health fee schedule · inpatient | $90.55 | $90.55 | $90.55 – $90.55 |
| 11 | Medica commercial|chi health fee schedule · outpatient | $90.55 | $90.55 | $90.55 – $90.55 |
| 12 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $94.53 | $94.53 | $94.53 – $94.53 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $94.53 | $94.53 | $94.53 – $94.53 |
| 14 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $94.53 | $94.53 | $94.53 – $94.53 |
| 15 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $94.53 | $94.53 | $94.53 – $94.53 |
| 16 | Medica commercial|aco fee schedule · inpatient | $95.52 | $95.52 | $95.52 – $95.52 |
| 17 | Medica commercial|aco fee schedule · outpatient | $95.52 | $95.52 | $95.52 – $95.52 |
| 18 | Medica commercial|open access fee schedule · inpatient | $95.52 | $95.52 | $95.52 – $95.52 |
| 19 | Medica commercial|open access fee schedule · outpatient | $95.52 | $95.52 | $95.52 – $95.52 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $97.51 | $97.51 | $97.51 – $97.51 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $97.51 | $97.51 | $97.51 – $97.51 |
| 22 | Phcs commercial|all plans fee schedule · inpatient | $97.51 | $97.51 | $97.51 – $97.51 |
| 23 | Phcs commercial|all plans fee schedule · outpatient | $97.51 | $97.51 | $97.51 – $97.51 |
Last updated: Feb 28, 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.