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) 1.5 %-1:200,000 INJECTION SOLUTION
Plattsburgh, NY
See all hospitals reporting HCPCS J2004 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $15 is 134% 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: 6 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $4.03 | $6.44 | $1.55 – $15.47 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $7.25 | $11.59 | $2.79 – $27.85 |
| 3 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14.37 | $22.96 | $5.52 – $55.15 |
| 4 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $14.68 | $23.45 | $5.64 – $56.34 |
| 5 | Highmark ind/fep facility · percent of total billed charges · outpatientfrom % of charges | $14.91 | $23.82 | $5.73 – $57.24 |
| 6 | Highmark ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $14.91 | $23.82 | $5.73 – $57.24 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $15.37 | $24.56 | $5.91 – $59.02 |
| 8 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $19.14 | $30.58 | $7.35 – $73.48 |
| 9 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $20.15 | $32.19 | $7.74 – $77.35 |
| 10 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $20.15 | $32.19 | $7.74 – $77.35 |
| 11 | Blue Cross Blue Shield ind facility · percent of total billed charges · outpatientfrom % of charges | $20.15 | $32.19 | $7.74 – $77.35 |
| 12 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $20.15 | $32.19 | $7.74 – $77.35 |
Last updated: Apr 28, 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.