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 1:100,000 INJECTION SOLUTION
Rome, GA
See all hospitals reporting HCPCS J2004 →Price type
Floyd Healthcare Management Inc’s median price of $17 is 157% above the median hospital's median price ($7), higher than 66% 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, 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 | Caresource managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.60 | $6.94 | $3.43 – $15.92 |
| 2 | Oscar commercial percent of total billed charges · outpatientfrom % of charges | $6.40 | $7.93 | $3.92 – $18.18 |
| 3 | Oscar commercial percent of total billed charges · inpatientfrom % of charges | $11.48 | $14.24 | $7.04 – $32.64 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $13.12 | $16.27 | $8.04 – $37.30 |
| 5 | Cigna floyd county and rome city commercial percent of total billed charges · inpatientfrom % of charges | $17.38 | $21.55 | $10.65 – $49.42 |
| 6 | Cigna floyd county and rome city commercial percent of total billed charges · outpatientfrom % of charges | $17.38 | $21.55 | $10.65 – $49.42 |
| 7 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $19.68 | $24.40 | $12.06 – $55.95 |
| 8 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $19.68 | $24.40 | $12.06 – $55.95 |
| 9 | Cigna local plus commercial percent of total billed charges · inpatientfrom % of charges | $19.68 | $24.40 | $12.06 – $55.95 |
| 10 | Cigna local plus commercial percent of total billed charges · outpatientfrom % of charges | $19.68 | $24.40 | $12.06 – $55.95 |
| 11 | Humana commercial percent of total billed charges · outpatientfrom % of charges | $21.32 | $26.43 | $13.07 – $60.61 |
| 12 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $21.59 | $26.84 | $12.86 – $63.41 |
| 13 | Anthem hmo/pos percent of total billed charges · outpatientfrom % of charges | $22.96 | $28.47 | $14.07 – $65.28 |
| 14 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $22.96 | $28.47 | $14.07 – $65.28 |
| 15 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $22.96 | $28.47 | $14.07 – $65.28 |
| 16 | Anthem indemnity percent of total billed charges · inpatientfrom % of charges | $24.50 | $30.37 | $15.01 – $69.65 |
| 17 | Anthem indemnity percent of total billed charges · outpatientfrom % of charges | $24.50 | $30.37 | $15.01 – $69.65 |
| 18 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $24.60 | $30.50 | $15.08 – $69.94 |
| 19 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $24.60 | $30.50 | $15.08 – $69.94 |
Last updated: Nov 19, 2025
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