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 20 ML
Martin, KY
See all hospitals reporting HCPCS J2004 →Price type
ARH Mary Breckinridge Health Services, Inc’s median price of $7 is about the same as the median hospital's median price ($7), higher than 50% 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, 12 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 | $5.55 | $5.55 | $4.50 – $6.60 |
| 3 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $5.55 | $5.55 | $4.50 – $6.60 |
| 4 | Anthem medicare advantage percent of total billed charges · outpatientfrom % of charges | $5.55 | $5.55 | $4.50 – $6.60 |
| 5 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $5.55 | $5.55 | $4.50 – $6.60 |
| 6 | Humana medicare percent of total billed charges · outpatientfrom % of charges | $5.55 | $5.55 | $4.50 – $6.60 |
| 7 | Optum veterans affairs plan percent of total billed charges · outpatientfrom % of charges | $5.55 | $5.55 | $4.50 – $6.60 |
| 8 | WellCare medicare percent of total billed charges · outpatientfrom % of charges | $5.55 | $5.55 | $4.50 – $6.60 |
| 9 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $5.61 | $5.61 | $4.55 – $6.67 |
| 10 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $5.66 | $5.66 | $4.59 – $6.73 |
| 11 | Aetna medicare percent of total billed charges · outpatientfrom % of charges | $7.22 | $7.22 | $5.85 – $8.58 |
| 12 | Aetna commercial percent of total billed charges · bothfrom % of charges | $24.42 | $24.42 | $19.80 – $29.04 |
Last updated: Jan 1, 2026
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