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 1 %-1:100000 IJ SOLN
Philadelphia, PA
See all hospitals reporting HCPCS J2004 →Price type
Children's Hospital of Philadelphia, The’s median price of $41 is 516% above the median hospital's median price ($7), higher than 84% 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, 10 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 ppo fee schedule · both | $4.20 | $4.20 | $2.80 – $5.60 |
| 2 | Aetna Better Health all plan types percent of total billed charges · bothfrom % of charges | $34.93 | $34.93 | $20.30 – $49.56 |
| 3 | Bcbs Nj all plan types percent of total billed charges · bothfrom % of charges | $46.85 | $46.85 | $27.23 – $66.47 |
| 4 | UnitedHealthcare all plan types percent of total billed charges · bothfrom % of charges | $36.84 | $47.51 | $12.80 – $103.56 |
| 5 | Highmark all plan types percent of total billed charges · bothfrom % of charges | $44.99 | $51.30 | $21.06 – $94.15 |
| 6 | Aetna all plan types percent of total billed charges · bothfrom % of charges | $66.36 | $66.36 | $38.57 – $94.15 |
| 7 | Cigna hmo percent of total billed charges · bothfrom % of charges | $66.36 | $66.36 | $38.57 – $94.15 |
| 8 | Cigna ppo percent of total billed charges · bothfrom % of charges | $66.36 | $66.36 | $38.57 – $94.15 |
| 9 | First Health ppo percent of total billed charges · bothfrom % of charges | $86.26 | $86.26 | $50.13 – $122.39 |
| 10 | MultiPlan all plan types percent of total billed charges · bothfrom % of charges | $106.17 | $106.17 | $61.70 – $150.63 |
Last updated: Dec 31, 2025
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