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
Clovis, CA
See all hospitals reporting HCPCS J2004 →Price type
Clovis Community Medical Center’s median price of $35 is 434% above the median hospital's median price ($7), higher than 81% 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, 18 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 epoppo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Blue Cross Blue Shield hmopos facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Blue Cross Blue Shield hmoppo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Aetna medicare hmo for chp facility · fee schedule · outpatient | $31.28 | $36.20 | $5.20 – $71.80 |
| 5 | Aetna medicare hmo for non-chp facility · fee schedule · outpatient | $31.28 | $36.20 | $5.20 – $71.80 |
| 6 | Aetna ppo facility · fee schedule · outpatient | $31.28 | $36.20 | $5.20 – $71.80 |
| 7 | Blue Cross Blue Shield epn facility · fee schedule · outpatient | $34.56 | $40.00 | $5.74 – $79.33 |
| 8 | Aetna hmoposppo facility · fee schedule · outpatient | $35.72 | $41.34 | $5.93 – $81.99 |
| 9 | Aetna qualified health plan facility · fee schedule · outpatient | $36.20 | $41.90 | $6.01 – $83.10 |
| 10 | UnitedHealthcare hmo facility · fee schedule · outpatient | $41.00 | $47.45 | $6.81 – $94.11 |
| 11 | UnitedHealthcare ppo facility · fee schedule · outpatient | $41.00 | $47.45 | $6.81 – $94.11 |
| 12 | Cigna hmo facility · fee schedule · outpatient | $43.43 | $50.27 | $7.22 – $99.69 |
| 13 | Cigna ppo facility · fee schedule · outpatient | $43.43 | $50.27 | $7.22 – $99.69 |
| 14 | Kaiser commercial facility · fee schedule · outpatient | $46.92 | $54.31 | $7.80 – $107.70 |
| 15 | Blue Cross Blue Shield exchange hmo facility · fee schedule · outpatient | $49.72 | $57.56 | $8.26 – $114.14 |
| 16 | MultiPlan ppo facility · fee schedule · outpatient | $58.65 | $67.89 | $9.75 – $134.62 |
| 17 | Phcs commercial facility · fee schedule · outpatient | $58.65 | $67.89 | $9.75 – $134.62 |
| 18 | Humana choice care ppo facility · fee schedule · outpatient | $66.47 | $76.94 | $11.05 – $152.57 |
Last updated: Sep 11, 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.