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
Macon, GA
See all hospitals reporting HCPCS J2004 →Price type
Central Georgia Rehabilitation LLC’s median price of $26 is 293% 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: 9 payers, 19 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 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $12.17 | $16.23 | $6.03 – $45.38 |
| 2 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $16.26 | $21.69 | $8.06 – $60.65 |
| 3 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $17.74 | $23.66 | $8.79 – $66.17 |
| 4 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $19.32 | $25.76 | $9.58 – $72.06 |
| 5 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $20.68 | $27.58 | $10.25 – $77.14 |
| 6 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $23.88 | $31.85 | $11.84 – $89.09 |
| 7 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $23.92 | $31.91 | $11.86 – $89.24 |
| 8 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $26.36 | $35.15 | $13.07 – $98.31 |
| 9 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $26.36 | $35.15 | $13.07 – $98.31 |
| 10 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $26.36 | $35.15 | $13.07 – $98.31 |
| 11 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $26.36 | $35.15 | $13.07 – $98.31 |
| 12 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $26.36 | $35.15 | $13.07 – $98.31 |
| 13 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $26.68 | $35.58 | $13.23 – $99.52 |
| 14 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $27.86 | $37.15 | $13.81 – $103.91 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $27.98 | $37.31 | $13.87 – $104.36 |
| 16 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $32.44 | $43.26 | $16.08 – $121.00 |
| 17 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $32.44 | $43.26 | $16.08 – $121.00 |
| 18 | Beechstreet commercial percent of total billed charges · inpatientfrom % of charges | $37.71 | $50.29 | $18.69 – $140.66 |
| 19 | Beechstreet commercial percent of total billed charges · outpatientfrom % of charges | $37.71 | $50.29 | $18.69 – $140.66 |
Last updated: Nov 19, 2025
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