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
Charlotte, NC
See all hospitals reporting HCPCS J2004 →Price type
Carolinas Medical Center’s median price of $15 is 125% above the median hospital's median price ($7), higher than 64% 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: 12 payers, 40 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 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.05 | $6.55 | $4.37 – $15.53 |
| 2 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.14 | $6.67 | $4.46 – $15.82 |
| 3 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $6.13 | $7.96 | $5.31 – $18.87 |
| 4 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $7.01 | $9.10 | $6.08 – $21.57 |
| 5 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $7.29 | $9.46 | $6.32 – $22.43 |
| 6 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $7.29 | $9.46 | $6.32 – $22.43 |
| 7 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $7.29 | $9.46 | $6.32 – $22.43 |
| 8 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $7.55 | $9.80 | $6.54 – $23.23 |
| 9 | UnitedHealthcare hmo-ppo managed care other · outpatient | $10.30 | $10.30 | $10.30 – $10.30 |
| 10 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $8.01 | $10.39 | $6.94 – $24.64 |
| 11 | Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges | $8.54 | $11.08 | $7.40 – $26.27 |
| 12 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $9.26 | $12.01 | $8.02 – $28.49 |
| 13 | Ambetter cobranded commercial percent of total billed charges · inpatientfrom % of charges | $9.84 | $12.77 | $8.52 – $30.27 |
| 14 | UnitedHealthcare hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $10.26 | $13.30 | $8.88 – $31.54 |
| 15 | Aetna north carolina preferred plus commercial percent of total billed charges · outpatientfrom % of charges | $10.63 | $13.79 | $9.20 – $32.68 |
| 16 | Ambetter individual commercial percent of total billed charges · inpatientfrom % of charges | $10.93 | $14.18 | $9.46 – $33.61 |
| 17 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $10.93 | $14.18 | $9.46 – $33.61 |
| 18 | Cigna hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $11.71 | $15.20 | $10.15 – $36.03 |
| 19 | UnitedHealthcare iex commercial percent of total billed charges · inpatientfrom % of charges | $11.76 | $15.26 | $10.19 – $36.17 |
| 20 | Cigna commercial nb percent of total billed charges · inpatientfrom % of charges | $11.85 | $15.38 | $10.27 – $36.45 |
| 21 | Cigna commercial nb percent of total billed charges · outpatientfrom % of charges | $11.85 | $15.38 | $10.27 – $36.45 |
| 22 | Aetna broad network percent of total billed charges · outpatientfrom % of charges | $11.92 | $15.47 | $10.33 – $36.67 |
| 23 | Medcost ultra percent of total billed charges · inpatientfrom % of charges | $12.01 | $15.59 | $10.41 – $36.95 |
| 24 | Medcost ultra percent of total billed charges · outpatientfrom % of charges | $12.01 | $15.59 | $10.41 – $36.95 |
| 25 | Aetna north carolina preferred plus commercial percent of total billed charges · inpatientfrom % of charges | $12.59 | $16.34 | $10.91 – $38.73 |
Last updated: Dec 5, 2025
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