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
Prestonsburg, KY
See all hospitals reporting HCPCS J2004 →Price type
ARH Tug Valley Health Services, 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: 7 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 | $9.86 | $12.76 | $6.53 – $19.87 |
| 3 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $9.86 | $12.76 | $6.53 – $19.87 |
| 4 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $10.06 | $13.02 | $6.66 – $20.26 |
| 5 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $10.16 | $13.14 | $6.72 – $20.46 |
| 6 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $15.13 | $19.58 | $10.01 – $30.48 |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $23.56 | $30.49 | $15.59 – $47.47 |
| 8 | Optum veterans affairs plan other · outpatient | $33.00 | $33.00 | $33.00 – $33.00 |
| 9 | Humana medicare other · outpatient | $395.00 | $395.00 | $395.00 – $395.00 |
Last updated: Jan 1, 2026
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