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-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION
Chambersburg, PA
See all hospitals reporting HCPCS J2004 →Price type
Chambersburg Hospital’s median price of $6 is 9% below the median hospital's median price ($7), higher than 49% 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: 6 payers, 16 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 | Blue Cross Blue Shield capital_blue_performance_ppo fee schedule · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 2 | Aetna Better Health all_plans percent of total billed charges · outpatientfrom % of charges | $1.49 | $2.20 | $0.95 – $4.73 |
| 3 | Blue Cross Blue Shield capital_cares_4_kids fee schedule · outpatient | $2.80 | $2.90 | $0.48 – $5.60 |
| 4 | Blue Cross Blue Shield all_other_plans fee schedule · outpatient | $4.00 | $4.14 | $0.68 – $8.00 |
| 5 | Cigna all_plans fee schedule · outpatient | $7.00 | $7.24 | $1.19 – $14.00 |
| 6 | Cigna ppo_plan fee schedule · outpatient | $7.35 | $7.60 | $1.25 – $14.70 |
| 7 | Aetna all_plans percent of total billed charges · inpatientfrom % of charges | $5.54 | $8.29 | $4.03 – $17.61 |
| 8 | Aetna all_plans percent of total billed charges · outpatientfrom % of charges | $5.97 | $8.83 | $3.80 – $19.01 |
| 9 | Blue Cross Blue Shield all_plans fee schedule · outpatient | $5.94 | $8.89 | $4.32 – $18.90 |
| 10 | Cigna all_plans percent of total billed charges · inpatientfrom % of charges | $6.14 | $9.20 | $4.47 – $19.55 |
| 11 | Aetna ppo_plan percent of total billed charges · inpatientfrom % of charges | $6.28 | $9.40 | $4.57 – $19.98 |
| 12 | Cigna ppo_plan percent of total billed charges · inpatientfrom % of charges | $6.45 | $9.66 | $4.69 – $20.53 |
| 13 | Aetna ppo_plan percent of total billed charges · outpatientfrom % of charges | $6.77 | $10.02 | $4.31 – $21.55 |
| 14 | First Health all_plans percent of total billed charges · outpatientfrom % of charges | $7.84 | $11.59 | $4.99 – $24.94 |
| 15 | First Health all_plans percent of total billed charges · inpatientfrom % of charges | $7.84 | $11.73 | $5.70 – $24.94 |
| 16 | UnitedHealthcare all_plans fee schedule · outpatient | $25.60 | $26.47 | $4.35 – $51.20 |
Last updated: Jan 1, 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.