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
Keene, NH
See all hospitals reporting HCPCS J2004 →Price type
Cheshire Medical Center’s median price of $11 is 64% above the median hospital's median price ($7), higher than 57% 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: 8 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 amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $0.24 | $0.24 | $0.24 – $0.24 |
| 2 | Cigna cigna hmo-pos professional · percent of total billed charges · outpatientfrom % of charges | $0.99 | $0.99 | $0.99 – $0.99 |
| 3 | Cigna cigna ppo professional · percent of total billed charges · outpatientfrom % of charges | $0.99 | $0.99 | $0.99 – $0.99 |
| 4 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · inpatientfrom % of charges | $1.18 | $1.18 | $1.18 – $1.18 |
| 5 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · outpatientfrom % of charges | $1.21 | $1.21 | $1.21 – $1.21 |
| 6 | Aetna aetna hmo/pos/ppo professional · percent of total billed charges · outpatientfrom % of charges | $1.37 | $1.37 | $1.37 – $1.37 |
| 7 | UnitedHealthcare uhc - hmo/pos/ppo professional · percent of total billed charges · inpatientfrom % of charges | $1.48 | $1.48 | $1.48 – $1.48 |
| 8 | UnitedHealthcare uhc - hmo/pos/ppo professional · percent of total billed charges · outpatientfrom % of charges | $1.52 | $1.52 | $1.52 – $1.52 |
| 9 | Anthem anthem - federal employee program professional · percent of total billed charges · inpatientfrom % of charges | $1.53 | $1.53 | $1.53 – $1.53 |
| 10 | Anthem anthem - federal employee program professional · percent of total billed charges · outpatientfrom % of charges | $1.53 | $1.53 | $1.53 – $1.53 |
| 11 | Anthem anthem - indemnity professional · percent of total billed charges · inpatientfrom % of charges | $1.53 | $1.53 | $1.53 – $1.53 |
| 12 | Bcbs Vt bcbs of vermont - the vermont health plan professional · percent of total billed charges · inpatientfrom % of charges | $1.59 | $1.59 | $1.59 – $1.59 |
| 13 | Bcbs Vt bcbs of vermont - the vermont health plan professional · percent of total billed charges · outpatientfrom % of charges | $1.59 | $1.59 | $1.59 – $1.59 |
| 14 | Bcbs Vt bcbs of vermont - vermont health partnership professional · percent of total billed charges · inpatientfrom % of charges | $1.59 | $1.59 | $1.59 – $1.59 |
| 15 | Bcbs Vt bcbs of vermont - vermont health partnership professional · percent of total billed charges · outpatientfrom % of charges | $1.59 | $1.59 | $1.59 – $1.59 |
| 16 | Bcbs Vt bcbs of vermont non-managed care plans professional · percent of total billed charges · inpatientfrom % of charges | $1.59 | $1.59 | $1.59 – $1.59 |
| 17 | Bcbs Vt bcbs of vermont non-managed care plans professional · percent of total billed charges · outpatientfrom % of charges | $1.59 | $1.59 | $1.59 – $1.59 |
| 18 | First Health first health/hcvm professional · percent of total billed charges · outpatientfrom % of charges | $1.70 | $1.70 | $1.70 – $1.70 |
| 19 | Phcs phcs professional · percent of total billed charges · inpatientfrom % of charges | $1.80 | $1.80 | $1.80 – $1.80 |
| 20 | Phcs phcs professional · percent of total billed charges · outpatientfrom % of charges | $1.80 | $1.80 | $1.80 – $1.80 |
| 21 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.51 | $3.83 | $0.81 – $12.13 |
| 22 | Cigna cigna hmo-pos facility · percent of total billed charges · outpatientfrom % of charges | $10.16 | $15.47 | $3.27 – $49.06 |
| 23 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $10.16 | $15.47 | $3.27 – $49.06 |
| 24 | UnitedHealthcare uhc - freedom plan facility · percent of total billed charges · inpatientfrom % of charges | $12.11 | $18.44 | $3.89 – $58.47 |
| 25 | UnitedHealthcare uhc - freedom plan facility · percent of total billed charges · outpatientfrom % of charges | $12.46 | $18.97 | $4.01 – $60.16 |
Last updated: Jan 1, 2026
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