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
LIDOCN 2%/EPI 1MG 30ML
Norfolk, VA
See all hospitals reporting HCPCS J2004 →Price type
Children's Hospital of the King's Daughters’s median price of $53 is 701% above the median hospital's median price ($7), higher than 90% 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, 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 | Amerihealth Caritas all products facility · percent of total billed charges · outpatientfrom % of charges | $14.74 | $16.30 | $12.42 – $24.52 |
| 2 | WellCare all products facility · percent of total billed charges · outpatientfrom % of charges | $15.19 | $16.79 | $12.79 – $25.25 |
| 3 | Cigna all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $42.56 | $47.05 | $35.86 – $70.78 |
| 4 | UnitedHealthcare mamsi facility · percent of total billed charges · inpatientfrom % of charges | $48.52 | $53.64 | $40.88 – $80.70 |
| 5 | UnitedHealthcare mamsi facility · percent of total billed charges · outpatientfrom % of charges | $48.52 | $53.64 | $40.88 – $80.70 |
| 6 | Aetna all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $52.69 | $58.24 | $44.39 – $87.63 |
| 7 | UnitedHealthcare onenet options facility · percent of total billed charges · inpatientfrom % of charges | $52.69 | $58.24 | $44.39 – $87.63 |
| 8 | UnitedHealthcare onenet options facility · percent of total billed charges · outpatientfrom % of charges | $52.69 | $58.24 | $44.39 – $87.63 |
| 9 | Medcost all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $54.48 | $60.23 | $45.90 – $90.61 |
| 10 | First Health all commercial products facility · percent of total billed charges · inpatientfrom % of charges | $57.69 | $63.77 | $48.60 – $95.94 |
| 11 | First Health all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $57.69 | $63.77 | $48.60 – $95.94 |
| 12 | Medcost all commercial products facility · percent of total billed charges · inpatientfrom % of charges | $58.97 | $65.19 | $49.68 – $98.07 |
| 13 | MultiPlan all commercial products facility · percent of total billed charges · inpatientfrom % of charges | $58.97 | $65.19 | $49.68 – $98.07 |
| 14 | MultiPlan all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $58.97 | $65.19 | $49.68 – $98.07 |
| 15 | Phcs all commercial products facility · percent of total billed charges · inpatientfrom % of charges | $58.97 | $65.19 | $49.68 – $98.07 |
| 16 | Phcs all commercial products facility · percent of total billed charges · outpatientfrom % of charges | $60.89 | $67.31 | $51.30 – $101.27 |
Last updated: Mar 17, 2026
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