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 w epi inj per 1 mg
Boulder, CO
See all hospitals reporting HCPCS J2004 →Price type
Boulder Community Health’s median price of $77 is 1073% above the median hospital's median price ($7), higher than 94% 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: 9 payers, 26 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 | Aetna medicare advantage professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Anthem commercial professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Anthem managed care professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Cigna commercial facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Cigna commercial professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | Humana medicare advantage professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | UnitedHealthcare commercial professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 9 | Aetna commercial professional · fee schedule · both | $0.02 | $0.02 | $0.01 – $0.02 |
| 10 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $27.23 | $28.67 | $20.02 – $42.99 |
| 11 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $27.60 | $30.43 | $22.86 – $42.65 |
| 12 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $36.99 | $40.78 | $30.63 – $57.15 |
| 13 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $37.04 | $40.84 | $30.67 – $57.23 |
| 14 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $39.76 | $43.41 | $22.56 – $101.57 |
| 15 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $42.41 | $46.76 | $35.12 – $65.52 |
| 16 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $44.16 | $48.69 | $36.57 – $68.24 |
| 17 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $44.16 | $48.69 | $36.57 – $68.24 |
| 18 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $34.79 | $52.98 | $20.17 – $136.47 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $59.08 | $60.43 | $31.63 – $110.35 |
| 20 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $63.62 | $70.14 | $52.68 – $98.29 |
| 21 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $69.32 | $74.06 | $31.63 – $148.57 |
| 22 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $76.29 | $84.12 | $63.18 – $117.88 |
| 23 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $76.29 | $84.12 | $63.18 – $117.88 |
| 24 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $77.29 | $85.21 | $64.00 – $119.41 |
| 25 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $77.29 | $85.21 | $64.00 – $119.41 |
Last updated: Sep 16, 2026
See Lidocaine with epinephrine injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.