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 (PF) 2 %-1:200,000 INJECTION SOLUTION
CITY, IN
See all hospitals reporting HCPCS J2004 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY’s median price of $24 is 262% above the median hospital's median price ($7), higher than 72% 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: 4 payers, 9 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 aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $13.94 | $30.54 | $13.94 – $79.13 |
| 2 | Cigna cigna localplus-nid percent of total billed charges · bothfrom % of charges | $14.38 | $31.51 | $14.38 – $81.64 |
| 3 | Bcbs Il st anthony health-nir-stmar&fhm&stant mc percent of total billed charges · bothfrom % of charges | $17.00 | $37.24 | $17.00 – $96.50 |
| 4 | UnitedHealthcare uhc all payer-nid-michigan city percent of total billed charges · bothfrom % of charges | $20.37 | $44.62 | $20.37 – $115.61 |
| 5 | Cigna cigna hmo-nid-michigan city & laporte percent of total billed charges · bothfrom % of charges | $20.54 | $44.99 | $20.54 – $116.57 |
| 6 | Cigna cigna ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $21.52 | $47.15 | $21.52 – $122.17 |
| 7 | UnitedHealthcare uhc options ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $22.64 | $49.60 | $22.64 – $128.54 |
| 8 | Cigna cigna behavioral health-nir-st anth mc percent of total billed charges · bothfrom % of charges | $23.80 | $52.14 | $23.80 – $135.10 |
| 9 | Aetna aetna-nir-michigan city percent of total billed charges · bothfrom % of charges | $25.50 | $55.86 | $25.50 – $144.75 |
Last updated: Jan 1, 2026
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