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
10 ml - FT AMB Epinephrine-lidocaine Charge
Norwalk, OH
See all hospitals reporting HCPCS J2004 →Price type
Fisher-Titus Medical Center’s median price of $2 is 69% below the median hospital's median price ($7), higher than 44% 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: 10 payers, 55 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 | Anthem anthembluepos/ppo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Anthem anthempathwayhmo/hic/tiered facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Anthem anthemtraditional facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Aetna aetnamedicare facility · percent of total billed charges · inpatientfrom % of charges | $0.25 | $0.37 | $0.16 – $0.69 |
| 5 | Aetna aetnamedicare facility · percent of total billed charges · outpatientfrom % of charges | $0.25 | $0.37 | $0.16 – $0.69 |
| 6 | Medical Mutual mmonorthernohio facility · percent of total billed charges · outpatientfrom % of charges | $0.33 | $0.48 | $0.20 – $0.91 |
| 7 | Anthem anthempathwayhmo/hic/tiered facility · percent of total billed charges · outpatientfrom % of charges | $0.41 | $0.60 | $0.25 – $1.13 |
| 8 | Medical Mutual mmonorthernohio facility · percent of total billed charges · inpatientfrom % of charges | $0.48 | $0.71 | $0.30 – $1.34 |
| 9 | Tricare tricare east facility · percent of total billed charges · outpatientfrom % of charges | $0.62 | $0.91 | $0.39 – $1.72 |
| 10 | Anthem anthempathwayhmo/hic/tiered facility · percent of total billed charges · inpatientfrom % of charges | $0.63 | $0.92 | $0.39 – $1.74 |
| 11 | Cigna cignacommercialhmo facility · percent of total billed charges · inpatientfrom % of charges | $0.66 | $0.97 | $0.42 – $1.84 |
| 12 | Cigna cignacommercialhmo facility · percent of total billed charges · outpatientfrom % of charges | $0.66 | $0.97 | $0.42 – $1.84 |
| 13 | Cigna cignacommercialppo facility · percent of total billed charges · inpatientfrom % of charges | $0.66 | $0.97 | $0.42 – $1.84 |
| 14 | Cigna cignacommercialppo facility · percent of total billed charges · outpatientfrom % of charges | $0.66 | $0.97 | $0.42 – $1.84 |
| 15 | Tricare tricare east facility · percent of total billed charges · inpatientfrom % of charges | $0.66 | $0.97 | $0.42 – $1.84 |
| 16 | Aetna aetnacommercial facility · percent of total billed charges · inpatientfrom % of charges | $0.72 | $1.06 | $0.45 – $2.00 |
| 17 | Aetna aetnacommercial facility · percent of total billed charges · outpatientfrom % of charges | $0.72 | $1.06 | $0.45 – $2.00 |
| 18 | Anthem anthembluepos/ppo facility · percent of total billed charges · inpatientfrom % of charges | $0.74 | $1.08 | $0.46 – $2.05 |
| 19 | Anthem anthembluepos/ppo facility · percent of total billed charges · outpatientfrom % of charges | $0.74 | $1.08 | $0.46 – $2.05 |
| 20 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $0.75 | $1.10 | $0.47 – $2.07 |
| 21 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $0.75 | $1.10 | $0.47 – $2.07 |
| 22 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $0.75 | $1.10 | $0.47 – $2.07 |
| 23 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $0.75 | $1.10 | $0.47 – $2.07 |
| 24 | Anthem anthemtraditional facility · percent of total billed charges · inpatientfrom % of charges | $0.76 | $1.11 | $0.47 – $2.09 |
| 25 | Anthem anthemtraditional facility · percent of total billed charges · outpatientfrom % of charges | $0.76 | $1.11 | $0.47 – $2.09 |
Last updated: Apr 29, 2026
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