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
Westwood, NJ
See all hospitals reporting HCPCS J2004 →Price type
Hackensack Meridian at Pascack Valley’s median price of $11 is 65% above the median hospital's median price ($7), higher than 57% 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: 12 payers, 20 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 | UnitedHealthcare uhccp [375500] facility · percent of total billed charges · bothfrom % of charges | $2.65 | $3.14 | $1.33 – $6.26 |
| 2 | Clover clover health medicare replacement [379500] facility · percent of total billed charges · bothfrom % of charges | $2.96 | $3.50 | $1.48 – $6.98 |
| 3 | Cigna cigna hmo pos open access [126018] facility · percent of total billed charges · bothfrom % of charges | $4.24 | $5.02 | $2.13 – $10.01 |
| 4 | Cigna cigna indemnity [126019] facility · percent of total billed charges · bothfrom % of charges | $4.24 | $5.02 | $2.13 – $10.01 |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $6.73 | $7.97 | $3.38 – $15.90 |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $6.73 | $7.97 | $3.38 – $15.90 |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $6.73 | $7.97 | $3.38 – $15.90 |
| 8 | Aetna aetna signature [101528] facility · percent of total billed charges · bothfrom % of charges | $7.00 | $8.29 | $3.51 – $16.54 |
| 9 | Aetna meritain aetna ardent employee [368502] facility · percent of total billed charges · bothfrom % of charges | $7.00 | $8.29 | $3.51 – $16.54 |
| 10 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $7.39 | $8.75 | $3.71 – $17.46 |
| 11 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $8.05 | $9.53 | $4.04 – $19.01 |
| 12 | First Health tall tree administrators [137508] facility · percent of total billed charges · bothfrom % of charges | $13.96 | $16.53 | $7.00 – $32.97 |
| 13 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $13.96 | $16.53 | $7.00 – $32.97 |
| 14 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $13.96 | $16.53 | $7.00 – $32.97 |
| 15 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $13.96 | $16.53 | $7.00 – $32.97 |
| 16 | Anthem anthem blue cross blue shield [352500] facility · percent of total billed charges · bothfrom % of charges | $15.34 | $18.17 | $7.70 – $36.25 |
| 17 | Blue Cross Blue Shield empire bcbs hmo pos epo [115558] facility · percent of total billed charges · bothfrom % of charges | $15.34 | $18.17 | $7.70 – $36.25 |
| 18 | Blue Cross Blue Shield empire bcbs ppo [115559] facility · percent of total billed charges · bothfrom % of charges | $15.34 | $18.17 | $7.70 – $36.25 |
| 19 | UnitedHealthcare the empire plan [206029] facility · percent of total billed charges · bothfrom % of charges | $15.34 | $18.17 | $7.70 – $36.25 |
| 20 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $15.93 | $18.86 | $7.99 – $37.63 |
Last updated: Feb 12, 2026
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