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
Morganton, NC
See all hospitals reporting HCPCS J2004 →Price type
Blue Ridge HealthCare Hospitals, Inc’s median price of $8 is 27% above the median hospital's median price ($7), higher than 52% 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, 18 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 | UnitedHealthcare commercial facility · fee schedule · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 2 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.03 | $2.11 | $1.92 – $2.39 |
| 3 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.03 | $2.11 | $1.92 – $2.39 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.42 | $3.55 | $3.23 – $4.02 |
| 5 | Blue Cross Blue Shield blue value facility · percent of total billed charges · outpatientfrom % of charges | $6.35 | $6.59 | $6.00 – $7.46 |
| 6 | Blue Cross Blue Shield blue value facility · percent of total billed charges · inpatientfrom % of charges | $6.37 | $6.61 | $6.02 – $7.49 |
| 7 | Blue Cross Blue Shield blue select/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $6.97 | $7.23 | $6.58 – $8.19 |
| 8 | Blue Cross Blue Shield blue select/hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $8.97 | $9.31 | $8.47 – $10.54 |
| 9 | UnitedHealthcare individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $9.59 | $9.95 | $9.06 – $11.27 |
| 10 | UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $9.92 | $10.29 | $9.37 – $11.65 |
| 11 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $10.76 | $11.17 | $10.17 – $12.65 |
| 12 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $10.85 | $11.26 | $10.25 – $12.75 |
| 13 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $11.48 | $11.91 | $10.85 – $13.49 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $11.93 | $12.38 | $11.27 – $14.02 |
| 15 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $12.06 | $12.51 | $11.39 – $14.17 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $12.24 | $12.70 | $11.56 – $14.38 |
| 17 | Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges | $12.69 | $13.16 | $11.98 – $14.91 |
| 18 | Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges | $12.78 | $13.26 | $12.07 – $15.02 |
Last updated: Jun 4, 2026
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