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
Lenoir, NC
See all hospitals reporting HCPCS J2004 →Price type
Caldwell Memorial Hospital’s median price of $5 is 27% below the median hospital's median price ($7), higher than 47% 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, 17 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 | Cigna commercial facility · fee schedule · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 2 | UnitedHealthcare commercial facility · fee schedule · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 3 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.95 | $4.10 | $3.62 – $4.72 |
| 4 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.95 | $4.10 | $3.62 – $4.72 |
| 5 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.95 | $4.10 | $3.62 – $4.72 |
| 6 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $5.13 | $5.32 | $4.70 – $6.13 |
| 7 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $5.86 | $6.09 | $5.38 – $7.01 |
| 8 | UnitedHealthcare individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $6.66 | $6.92 | $6.12 – $7.97 |
| 9 | Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges | $8.26 | $8.58 | $7.58 – $9.88 |
| 10 | Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges | $9.70 | $10.08 | $8.90 – $11.61 |
| 11 | Blue Cross Blue Shield blue value facility · percent of total billed charges · outpatientfrom % of charges | $10.61 | $11.02 | $9.74 – $12.70 |
| 12 | Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges | $10.66 | $11.07 | $9.78 – $12.75 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $10.80 | $11.22 | $9.91 – $12.92 |
| 14 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $12.04 | $12.51 | $11.05 – $14.41 |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $14.64 | $15.21 | $13.44 – $17.52 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14.64 | $15.21 | $13.44 – $17.52 |
| 17 | Blue Cross Blue Shield blue select/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $14.97 | $15.55 | $13.74 – $17.91 |
Last updated: Jun 4, 2026
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