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
INJECTION, LIDOCAINE HCL WITH EPINEPHRINE, 1 MG
Glendale, CA
See all hospitals reporting HCPCS J2004 →Price type
Glendale Adventist Medical Center’s median price of $116 is 1657% above the median hospital's median price ($7), higher than 97% 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, 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 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $0.15 | $0.15 | $0.15 – $0.15 |
| 2 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 3 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $0.21 | $0.21 | $0.21 – $0.21 |
| 4 | Blue Cross Blue Shield blue shield medi-cal percent of total billed charges · outpatientfrom % of charges | $53.75 | $52.42 | $2.66 – $100.68 |
| 5 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $86.00 | $83.88 | $4.25 – $161.10 |
| 6 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $89.93 | $87.71 | $4.44 – $168.45 |
| 7 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $94.65 | $92.31 | $4.68 – $177.29 |
| 8 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $94.65 | $92.31 | $4.68 – $177.29 |
| 9 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $99.09 | $96.65 | $4.90 – $185.61 |
| 10 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $106.34 | $103.71 | $5.26 – $199.18 |
| 11 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $106.34 | $103.71 | $5.26 – $199.18 |
| 12 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $111.01 | $108.27 | $5.49 – $207.94 |
| 13 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $111.01 | $108.27 | $5.49 – $207.94 |
| 14 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $135.55 | $132.20 | $6.70 – $253.90 |
| 15 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $151.91 | $148.16 | $7.51 – $284.54 |
| 16 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $198.65 | $193.75 | $9.82 – $372.10 |
| 17 | Medicaid medi-cal fee schedule · outpatient | $233.70 | $227.94 | $11.55 – $437.76 |
| 18 | Molina molina mcal fee schedule · outpatient | $233.70 | $227.94 | $11.55 – $437.76 |
| 19 | Aetna aetna - all plans fee schedule · outpatient | $543.60 | $530.18 | $26.87 – $1,018 |
Last updated: Jul 30, 2026
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