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%-1:200000 20 ML
Barbourville, KY
See all hospitals reporting HCPCS J2004 →Price type
ARH Mary Breckinridge Health Services, Inc’s median price of $10 is 55% above the median hospital's median price ($7), higher than 55% 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, 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 | Anthem commercial fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $5.78 | $7.31 | $5.61 – $10.54 |
| 3 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $5.78 | $7.31 | $5.61 – $10.54 |
| 4 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $5.78 | $7.31 | $5.61 – $10.54 |
| 5 | Anthem medicare advantage percent of total billed charges · outpatientfrom % of charges | $5.84 | $7.39 | $5.67 – $10.65 |
| 6 | Humana medicare percent of total billed charges · outpatientfrom % of charges | $5.84 | $7.39 | $5.67 – $10.65 |
| 7 | Optum veterans affairs plan percent of total billed charges · outpatientfrom % of charges | $5.84 | $7.39 | $5.67 – $10.65 |
| 8 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $5.84 | $7.39 | $5.67 – $10.65 |
| 9 | WellCare medicare percent of total billed charges · outpatientfrom % of charges | $5.84 | $7.39 | $5.67 – $10.65 |
| 10 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $5.90 | $7.46 | $5.72 – $10.75 |
| 11 | Aetna medicare percent of total billed charges · outpatientfrom % of charges | $8.16 | $10.32 | $7.92 – $14.88 |
| 12 | UnitedHealthcare medicare percent of total billed charges · outpatientfrom % of charges | $9.86 | $12.47 | $9.57 – $17.98 |
| 13 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $15.16 | $19.18 | $14.72 – $27.65 |
| 14 | Aetna commercial percent of total billed charges · bothfrom % of charges | $29.92 | $37.84 | $29.04 – $54.56 |
Last updated: Jan 1, 2026
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