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 1.5%-1:200000 5 ML
Middlesboro, KY
See all hospitals reporting HCPCS J2004 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $14 is 112% 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: 7 payers, 11 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 | Anthem commercial fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Anthem medicare advantage other · outpatient | $5.00 | $5.00 | $5.00 – $5.00 |
| 3 | WellCare medicare other · outpatient | $5.00 | $5.00 | $5.00 – $5.00 |
| 4 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $6.47 | $8.24 | $6.06 – $13.95 |
| 5 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $6.47 | $8.24 | $6.06 – $13.95 |
| 6 | Humana choice care percent of total billed charges · outpatientfrom % of charges | $6.47 | $8.24 | $6.06 – $13.95 |
| 7 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $6.47 | $8.24 | $6.06 – $13.95 |
| 8 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $8.82 | $11.22 | $8.25 – $19.00 |
| 9 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $26.26 | $33.43 | $24.59 – $56.62 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $31.73 | $40.39 | $29.70 – $68.40 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $32.79 | $41.74 | $30.69 – $70.68 |
Last updated: Jan 1, 2026
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