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 INJ 1% W/ EPINEPHRINE-1:200000 (PF)
BRISTOL, TN
See all hospitals reporting HCPCS J2004 →Price type
Bristol Regional Medical Center’s median price of $25 is 284% above the median hospital's median price ($7), higher than 73% 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: 7 payers, 12 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 uhc heritage select other · both | $21.47 | $21.47 | $5.99 – $36.94 |
| 2 | UnitedHealthcare uhc heritage river valley other · both | $22.58 | $22.58 | $6.30 – $38.86 |
| 3 | UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges | $22.58 | $22.58 | $6.30 – $38.86 |
| 4 | Cigna cigna hmo percent of total billed charges · bothfrom % of charges | $29.15 | $29.15 | $8.13 – $50.17 |
| 5 | Cigna cigna open access plus percent of total billed charges · bothfrom % of charges | $29.15 | $29.15 | $8.13 – $50.17 |
| 6 | Cigna cigna ppo percent of total billed charges · bothfrom % of charges | $29.15 | $29.15 | $8.13 – $50.17 |
| 7 | Aetna aetna percent of total billed charges · bothfrom % of charges | $29.86 | $29.86 | $8.33 – $51.38 |
| 8 | Cigna cigna individual family plan percent of total billed charges · bothfrom % of charges | $32.44 | $32.44 | $9.05 – $55.83 |
| 9 | Medcost medcost vhn percent of total billed charges · bothfrom % of charges | $33.27 | $33.27 | $9.28 – $57.26 |
| 10 | Blue Cross Blue Shield blue cross ballad health employee percent of total billed charges · bothfrom % of charges | $48.94 | $48.94 | $13.65 – $84.22 |
| 11 | First Health first health coventry percent of total billed charges · bothfrom % of charges | $53.84 | $53.84 | $15.02 – $92.65 |
| 12 | WellCare wellcare medicaid percent of total billed charges · bothfrom % of charges | $69.91 | $69.91 | $19.50 – $120.32 |
Last updated: Mar 23, 2026
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