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) 1 %-1:200,000 INJECTION SOLUTION
Leominster, MA
See all hospitals reporting HCPCS J2004 →Price type
HealthAlliance - Clinton Hospital’s median price of $38 is 475% above the median hospital's median price ($7), higher than 83% 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: 7 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 | Cigna all cigna ha [46] plans fee schedule · both | $7.69 | $7.84 | $0.77 – $15.37 |
| 2 | UnitedHealthcare all uhc rhody partners [271] plans percent of total billed charges · bothfrom % of charges | $23.89 | $19.31 | $1.70 – $33.32 |
| 3 | Medicaid all medicaid of maine [283] plans percent of total billed charges · bothfrom % of charges | $36.65 | $29.62 | $2.60 – $51.11 |
| 4 | UnitedHealthcare all uhc ha [125] plans percent of total billed charges · bothfrom % of charges | $37.85 | $30.59 | $2.69 – $52.78 |
| 5 | UnitedHealthcare all uhc surest ha [323] plans percent of total billed charges · bothfrom % of charges | $37.85 | $30.59 | $2.69 – $52.78 |
| 6 | Aetna all aetna ha [147] plans percent of total billed charges · bothfrom % of charges | $46.09 | $37.25 | $3.27 – $64.28 |
| 7 | First Health all coventry (first health) [83] plans percent of total billed charges · bothfrom % of charges | $52.86 | $42.72 | $3.75 – $73.71 |
| 8 | MultiPlan all multiplan [81] plans percent of total billed charges · bothfrom % of charges | $52.86 | $42.72 | $3.75 – $73.71 |
| 9 | Optum all optum behavioral health (ubh) ha [248] plans percent of total billed charges · bothfrom % of charges | $70.48 | $56.96 | $5.00 – $98.28 |
Last updated: Mar 26, 2026
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