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 1:100000 INJECTION SOLUTION
Avon, OH
See all hospitals reporting HCPCS J2004 →Price type
Cleveland Clinic Avon Hospital’s median price of $1 is 89% below the median hospital's median price ($7), higher than 40% 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, 19 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 | Aetna acop facility · fee schedule · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 2 | Aetna asa_whirlpool_peia facility · fee schedule · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 3 | Aetna international facility · fee schedule · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 4 | Cigna all products facility · fee schedule · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 5 | UnitedHealthcare all products facility · fee schedule · outpatient | $0.06 | $0.06 | $0.06 – $0.06 |
| 6 | Anthem ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $0.21 | $0.33 | $0.13 – $0.80 |
| 7 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $0.27 | $0.42 | $0.16 – $1.02 |
| 8 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $0.35 | $0.55 | $0.21 – $1.32 |
| 9 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $0.44 | $0.71 | $0.27 – $1.69 |
| 10 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $0.69 | $1.09 | $0.42 – $2.62 |
| 11 | Optum all products transplant facility · percent of total billed charges · outpatientfrom % of charges | $0.70 | $1.11 | $0.42 – $2.65 |
| 12 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $0.71 | $1.13 | $0.43 – $2.71 |
| 13 | Aetna all products facility · percent of total billed charges · bothfrom % of charges | $0.92 | $1.47 | $0.56 – $3.51 |
| 14 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $1.11 | $1.76 | $0.68 – $4.21 |
| 15 | Aetna qhp/ipf facility · percent of total billed charges · bothfrom % of charges | $1.23 | $1.95 | $0.75 – $4.68 |
| 16 | Anthem managed medicaid facility · case rate · outpatient | $8.20 | $8.20 | $8.20 – $8.20 |
| 17 | Molina managed medicaid facility · case rate · outpatient | $8.20 | $8.20 | $8.20 – $8.20 |
| 18 | Caresource managed medicaid facility · case rate · outpatient | $8.36 | $8.36 | $8.36 – $8.36 |
| 19 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $8.36 | $8.36 | $8.36 – $8.36 |
Last updated: Jun 15, 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.