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 1 %-1:100,000 INJECTION
Malone, NY
See all hospitals reporting HCPCS J2004 →Price type
Alice Hyde Medical Center’s median price of $11 is 73% above the median hospital's median price ($7), higher than 58% 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, 9 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 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $7.23 | $8.47 | $2.17 – $21.66 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $8.52 | $9.98 | $2.55 – $25.53 |
| 3 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $8.52 | $9.98 | $2.55 – $25.53 |
| 4 | Humana tricare facility · percent of total billed charges · outpatientfrom % of charges | $8.52 | $9.98 | $2.55 – $25.53 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $8.52 | $9.98 | $2.55 – $25.53 |
| 6 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $21.60 | $25.30 | $6.47 – $64.67 |
| 7 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · inpatientfrom % of charges | $22.42 | $26.27 | $6.72 – $67.14 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $22.44 | $26.29 | $6.73 – $67.22 |
| 9 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $23.14 | $27.11 | $6.94 – $69.31 |
Last updated: Sep 8, 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.