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%-1:100000 20 ML
Paintsville, KY
See all hospitals reporting HCPCS J2004 →Price type
ARH Tug Valley Health Services, Inc.’s median price of $5 is 26% below the median hospital's median price ($7), higher than 48% 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: 6 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.
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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 | $4.79 | $4.79 | $4.71 – $4.86 |
| 3 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $4.79 | $4.79 | $4.71 – $4.86 |
| 4 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $4.79 | $4.79 | $4.71 – $4.86 |
| 5 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $4.79 | $4.79 | $4.71 – $4.86 |
| 6 | UnitedHealthcare medicaid percent of total billed charges · outpatientfrom % of charges | $4.79 | $4.79 | $4.71 – $4.86 |
| 7 | UnitedHealthcare medicare other · outpatient | $5.00 | $5.00 | $5.00 – $5.00 |
| 8 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $17.62 | $17.62 | $17.36 – $17.88 |
| 9 | Aetna commercial percent of total billed charges · bothfrom % of charges | $25.13 | $25.13 | $24.75 – $25.50 |
Last updated: Jan 1, 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.