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
XYLOCAINE-MPF WITH EPINEPHRINE 10MG/ML 30ML [0487-37]
Abilene, TX
See all hospitals reporting HCPCS J2004 →Price type
Hendrick Medical Center’s median price of $37 is 459% above the median hospital's median price ($7), higher than 82% 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: 5 payers, 15 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 | Bcbs Tx marketplace facility · percent of total billed charges · inpatientfrom % of charges | $16.80 | $17.82 | $10.03 – $27.66 |
| 2 | Bcbs Tx marketplace facility · percent of total billed charges · outpatientfrom % of charges | $17.74 | $18.81 | $10.59 – $29.19 |
| 3 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $18.67 | $19.80 | $11.15 – $30.73 |
| 4 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $19.60 | $20.79 | $11.70 – $32.26 |
| 5 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $19.60 | $20.79 | $11.70 – $32.26 |
| 6 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $20.54 | $21.78 | $12.26 – $33.80 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $36.96 | $39.21 | $22.07 – $60.84 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $37.42 | $39.70 | $22.35 – $61.61 |
| 9 | Bcbs Tx traditional facility · percent of total billed charges · inpatientfrom % of charges | $39.20 | $41.58 | $23.41 – $64.53 |
| 10 | Bcbs Tx traditional facility · percent of total billed charges · outpatientfrom % of charges | $39.20 | $41.58 | $23.41 – $64.53 |
| 11 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $46.67 | $49.51 | $27.87 – $76.82 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $58.80 | $62.37 | $35.11 – $96.79 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $58.80 | $62.37 | $35.11 – $96.79 |
| 14 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $83.06 | $88.12 | $49.60 – $136.74 |
| 15 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $83.06 | $88.12 | $49.60 – $136.74 |
Last updated: Oct 1, 2026
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