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
INJECTION, LIDOCAINE HCL WITH EPINEPHRINE, 1 MG
Grange, KY
See all hospitals reporting HCPCS J2004 →Price type
Baptist Healthcare System Inc’s median price of $1 is 91% below the median hospital's median price ($7), higher than 38% 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: 11 payers, 24 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 anthem blue access ppo fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Anthem anthem blue pref hmo fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Anthem anthem indiv on/off exch fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Anthem anthem path hmo fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Anthem anthem path hpn fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | Cigna cigna - all plans fee schedule · outpatient | $0.03 | $0.03 | $0.03 – $0.03 |
| 7 | Aetna aetna better hlth mcaid percent of total billed charges · outpatientfrom % of charges | $0.10 | $0.11 | $0.09 – $0.14 |
| 8 | Humana humana mcaid percent of total billed charges · outpatientfrom % of charges | $0.10 | $0.11 | $0.09 – $0.14 |
| 9 | Molina molina mcaid - all plans percent of total billed charges · outpatientfrom % of charges | $0.10 | $0.11 | $0.09 – $0.14 |
| 10 | UnitedHealthcare uhc mcaid percent of total billed charges · outpatientfrom % of charges | $0.10 | $0.11 | $0.09 – $0.14 |
| 11 | WellCare wellcare mcaid - all plans percent of total billed charges · outpatientfrom % of charges | $0.10 | $0.11 | $0.09 – $0.14 |
| 12 | Anthem anthem bhs1 percent of total billed charges · outpatientfrom % of charges | $0.27 | $0.30 | $0.25 – $0.37 |
| 13 | Aetna aetna new bus percent of total billed charges · outpatientfrom % of charges | $0.43 | $0.47 | $0.39 – $0.59 |
| 14 | UnitedHealthcare uhc all payer-all other plans percent of total billed charges · outpatientfrom % of charges | $0.54 | $0.59 | $0.50 – $0.74 |
| 15 | Anthem anthem blue trad - all other plans percent of total billed charges · outpatientfrom % of charges | $0.56 | $0.61 | $0.51 – $0.77 |
| 16 | Aetna aetna comm - all other plans percent of total billed charges · outpatientfrom % of charges | $0.57 | $0.62 | $0.52 – $0.78 |
| 17 | Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges | $0.78 | $0.85 | $0.71 – $1.06 |
| 18 | MultiPlan multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $0.94 | $1.03 | $0.87 – $1.29 |
| 19 | Aetna aetna mcr adv other · outpatient | $1.11 | $1.22 | $1.02 – $1.52 |
| 20 | Anthem anthem mcr adv other · outpatient | $1.12 | $1.23 | $1.03 – $1.53 |
| 21 | Humana humana mcr adv - all other plans other · outpatient | $1.17 | $1.28 | $1.07 – $1.60 |
| 22 | Caresource caresource-all plans other · outpatient | $2.00 | $2.19 | $1.84 – $2.74 |
| 23 | Ambetter ambetter/wcare direct ind - all other plans other · outpatient | $2.14 | $2.34 | $1.96 – $2.93 |
| 24 | Ambetter ambetter/wcare ind mrkt other · outpatient | $2.14 | $2.34 | $1.96 – $2.93 |
Last updated: Sep 25, 2026
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