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
Philadelphia, PA
See all hospitals reporting HCPCS J2004 →Price type
Fox Chase Cancer Center’s median price of $0 is 98% below the median hospital's median price ($7), higher than 32% 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: 5 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 | Bcbs Nj indemnity facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Nj managed care facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Bcbs Nj ppo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Bcbs Pa hmo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Bcbs Pa indemnity facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | Bcbs Pa medicare advantage select 65 facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 8 | Bcbs Pa ppo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 9 | Bcbs Pa temple member facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 10 | UnitedHealthcare vaccn facility · percent of total billed charges · outpatientfrom % of charges | $0.58 | $0.88 | $0.09 – $2.05 |
| 11 | Oscar pennsylvania health plan facility · percent of total billed charges · outpatientfrom % of charges | $0.62 | $0.94 | $0.10 – $2.18 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $0.75 | $1.14 | $0.12 – $2.66 |
| 13 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $0.75 | $1.14 | $0.12 – $2.66 |
| 14 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $0.77 | $1.17 | $0.12 – $2.72 |
Last updated: Apr 8, 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.