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
RENSSELAER, IN
See all hospitals reporting HCPCS J2004 →Price type
Franciscan Health Rensselaer, Inc.’s median price of $86 is 1210% above the median hospital's median price ($7), higher than 95% 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, 4 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 | Medicare medicare-wir-rensselaer percent of total billed charges · bothfrom % of charges | $31.38 | $34.98 | $31.16 – $53.61 |
| 2 | UnitedHealthcare united healthcare-wid-rensselaer percent of total billed charges · bothfrom % of charges | $76.93 | $85.76 | $76.41 – $131.46 |
| 3 | Aetna aetna-wid percent of total billed charges · bothfrom % of charges | $86.34 | $96.25 | $85.76 – $147.54 |
| 4 | Cigna cigna-wid-rensselaer percent of total billed charges · bothfrom % of charges | $98.14 | $109.40 | $97.48 – $167.70 |
Last updated: Jan 1, 2026
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