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
Waco, TX
See all hospitals reporting HCPCS J2004 →Price type
Baylor Scott & White Medical Center - Hillcrest’s median price of $10 is 52% above the median hospital's median price ($7), higher than 55% 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: 8 payers, 21 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.50 | $3.13 | $0.06 – $9.72 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $2.67 | $3.35 | $0.06 – $10.40 |
| 3 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $9.24 | $11.57 | $0.20 – $35.94 |
| 4 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $9.24 | $11.57 | $0.20 – $35.94 |
| 5 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges | $9.37 | $11.74 | $0.21 – $36.45 |
| 6 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $9.49 | $11.88 | $0.21 – $36.90 |
| 7 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $9.58 | $11.99 | $0.21 – $37.26 |
| 8 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $9.58 | $11.99 | $0.21 – $37.26 |
| 9 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $10.26 | $12.85 | $0.23 – $39.93 |
| 10 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $10.45 | $13.09 | $0.23 – $40.66 |
| 11 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges | $11.03 | $13.82 | $0.24 – $42.93 |
| 12 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $11.03 | $13.82 | $0.24 – $42.93 |
| 13 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $11.16 | $13.98 | $0.25 – $43.42 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $11.45 | $14.34 | $0.25 – $44.55 |
| 15 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $11.66 | $14.60 | $0.26 – $45.36 |
| 16 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $12.28 | $15.38 | $0.27 – $47.79 |
| 17 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $13.53 | $16.95 | $0.30 – $52.65 |
| 18 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $13.53 | $16.95 | $0.30 – $52.65 |
| 19 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $14.57 | $18.25 | $0.32 – $56.70 |
| 20 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $14.57 | $18.25 | $0.32 – $56.70 |
| 21 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $14.57 | $18.25 | $0.32 – $56.70 |
Last updated: Jun 13, 2026
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