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
epinephrine-lidocaine 1:100000-1% Sol
Astoria, OR
See all hospitals reporting HCPCS J2004 →Price type
Columbia Lutheran Charities’s median price of $31 is 373% above the median hospital's median price ($7), higher than 77% 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, 14 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 | Molina molina ma - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $20.88 | $20.38 | $11.79 – $29.79 |
| 2 | UnitedHealthcare medicare facility · percent of total billed charges · bothfrom % of charges | $20.88 | $20.38 | $11.79 – $29.79 |
| 3 | Regence medicare facility · percent of total billed charges · bothfrom % of charges | $20.88 | $20.59 | $11.79 – $29.79 |
| 4 | Tricare military facility · percent of total billed charges · bothfrom % of charges | $22.03 | $20.79 | $11.79 – $29.79 |
| 5 | Aetna aetna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $21.46 | $20.95 | $12.12 – $30.62 |
| 6 | Cigna cigna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $21.92 | $21.40 | $12.38 – $31.28 |
| 7 | Molina medicaid facility · percent of total billed charges · bothfrom % of charges | $26.02 | $25.40 | $14.69 – $37.13 |
| 8 | Regence commercial facility · percent of total billed charges · bothfrom % of charges | $51.62 | $50.91 | $29.15 – $73.65 |
| 9 | First Health first health/coventry - commercial facility · percent of total billed charges · bothfrom % of charges | $52.20 | $50.95 | $29.48 – $74.48 |
| 10 | Premera bc premera lifewise - commercial facility · percent of total billed charges · bothfrom % of charges | $55.10 | $53.78 | $31.11 – $78.61 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · bothfrom % of charges | $55.10 | $53.78 | $31.11 – $78.61 |
| 12 | Aetna commercial facility · percent of total billed charges · bothfrom % of charges | $55.68 | $54.35 | $31.44 – $79.44 |
| 13 | MultiPlan multiplan - commercial facility · percent of total billed charges · bothfrom % of charges | $55.68 | $54.35 | $31.44 – $79.44 |
| 14 | Cigna commercial facility · percent of total billed charges · bothfrom % of charges | $58.75 | $55.43 | $31.44 – $79.44 |
Last updated: Jan 5, 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.