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 2 %-1:100,000 SOLN"
Elkins, WV
See all hospitals reporting HCPCS J2004 →Price type
Davis Medical Center’s median price of $23 is 245% above the median hospital's median price ($7), higher than 71% 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: 6 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 | Aetna commercial professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | First Health commercial professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Highmark commercial professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $18.96 | $23.80 | $8.87 – $60.50 |
| 5 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $18.96 | $23.80 | $8.87 – $60.50 |
| 6 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $21.13 | $26.52 | $9.89 – $67.43 |
| 7 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $22.27 | $27.95 | $10.42 – $71.07 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $22.27 | $27.95 | $10.42 – $71.07 |
| 9 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $22.27 | $27.95 | $10.42 – $71.07 |
| 10 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $22.27 | $27.95 | $10.42 – $71.07 |
| 11 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $23.17 | $29.08 | $10.84 – $73.94 |
| 12 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $23.17 | $29.08 | $10.84 – $73.94 |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $24.19 | $30.36 | $11.32 – $77.19 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $24.19 | $30.36 | $11.32 – $77.19 |
Last updated: Jul 30, 2026
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