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% & EPI/NA BICARB: 30ML
Madison, WV
See all hospitals reporting HCPCS J2004 →Price type
Boone Memorial Hospital’s median price of $7 is 11% above the median hospital's median price ($7), higher than 51% 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: 4 payers, 5 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 | Humana medicare advantage other · both | $4.94 | $5.73 | $2.74 – $9.90 |
| 2 | Aetna default fee schedule · both | $5.04 | $5.85 | $2.80 – $10.10 |
| 3 | Highmark default other · both | $5.04 | $5.85 | $2.80 – $10.10 |
| 4 | Cigna default percent of total billed charges · bothfrom % of charges | $13.43 | $15.58 | $7.46 – $26.90 |
| 5 | Aetna default percent of total billed charges · bothfrom % of charges | $17.10 | $19.84 | $9.50 – $34.26 |
Last updated: Apr 7, 2026
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