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 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION
Shelby, NC
See all hospitals reporting HCPCS J2004 →Price type
Atrium Health Hospitals Inc’s median price of $15 is 122% above the median hospital's median price ($7), higher than 63% 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: 12 payers, 40 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 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.27 | $4.24 | $2.83 – $10.05 |
| 2 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.33 | $4.32 | $2.88 – $10.24 |
| 3 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $4.85 | $6.29 | $4.20 – $14.90 |
| 4 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $6.13 | $7.96 | $5.31 – $18.87 |
| 5 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $7.01 | $9.10 | $6.08 – $21.57 |
| 6 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $7.10 | $9.21 | $6.15 – $21.84 |
| 7 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $7.10 | $9.21 | $6.15 – $21.84 |
| 8 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $7.10 | $9.21 | $6.15 – $21.84 |
| 9 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $7.39 | $9.59 | $6.40 – $22.74 |
| 10 | Cigna hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $7.43 | $9.64 | $6.44 – $22.86 |
| 11 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $8.40 | $10.90 | $7.28 – $25.85 |
| 12 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $8.52 | $11.05 | $7.38 – $26.20 |
| 13 | Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges | $8.89 | $11.53 | $7.70 – $27.34 |
| 14 | UnitedHealthcare iex commercial percent of total billed charges · inpatientfrom % of charges | $9.31 | $12.07 | $8.06 – $28.62 |
| 15 | Cigna commercial nb percent of total billed charges · inpatientfrom % of charges | $10.02 | $13.00 | $8.68 – $30.83 |
| 16 | Cigna commercial nb percent of total billed charges · outpatientfrom % of charges | $10.02 | $13.00 | $8.68 – $30.83 |
| 17 | Cigna hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $10.51 | $13.63 | $9.10 – $32.32 |
| 18 | Aetna north carolina preferred plus commercial percent of total billed charges · inpatientfrom % of charges | $10.76 | $13.97 | $9.32 – $33.11 |
| 19 | UnitedHealthcare hmo-ppo managed care other · outpatient | $14.61 | $14.61 | $14.61 – $14.61 |
| 20 | UnitedHealthcare iex commercial other · outpatient | $14.61 | $14.61 | $14.61 – $14.61 |
| 21 | Aetna broad network percent of total billed charges · inpatientfrom % of charges | $12.13 | $15.74 | $10.51 – $37.31 |
| 22 | Aetna north carolina preferred plus commercial percent of total billed charges · outpatientfrom % of charges | $12.15 | $15.77 | $10.53 – $37.38 |
| 23 | UnitedHealthcare hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $12.36 | $16.04 | $10.71 – $38.02 |
| 24 | Medcost ultra percent of total billed charges · inpatientfrom % of charges | $12.92 | $16.76 | $11.19 – $39.73 |
| 25 | Medcost ultra percent of total billed charges · outpatientfrom % of charges | $12.92 | $16.76 | $11.19 – $39.73 |
Last updated: Dec 1, 2025
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