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 2%-1:100000 50 ML
Whitesburg, KY
See all hospitals reporting HCPCS J2004 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $18 is 173% above the median hospital's median price ($7), higher than 67% 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: 8 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 | Optum veterans affairs plan other · outpatient | $5.00 | $5.00 | $5.00 – $5.00 |
| 3 | WellCare medicare other · outpatient | $5.00 | $5.00 | $5.00 – $5.00 |
| 4 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $5.55 | $7.02 | $5.39 – $10.12 |
| 5 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $8.50 | $10.75 | $8.25 – $15.50 |
| 6 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $9.86 | $12.47 | $9.57 – $17.98 |
| 7 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $9.86 | $12.47 | $9.57 – $17.98 |
| 8 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $10.16 | $12.85 | $9.86 – $18.52 |
| 9 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $25.98 | $32.85 | $25.21 – $47.37 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $30.60 | $38.70 | $29.70 – $55.80 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $31.62 | $39.99 | $30.69 – $57.66 |
Last updated: Jan 1, 2026
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