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 2% W/EPI 20MG/ML 20ML AMP [0125-01]
Brownwood, TX
See all hospitals reporting HCPCS J2004 →Price type
Hendrick Medical Center’s median price of $20 is 197% above the median hospital's median price ($7), higher than 68% 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, 14 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 commercial facility · percent of total billed charges · inpatientfrom % of charges | $11.38 | $18.62 | $9.28 – $42.44 |
| 2 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $11.38 | $18.62 | $9.28 – $42.44 |
| 3 | Bcbs Tx marketplace facility · percent of total billed charges · inpatientfrom % of charges | $18.32 | $29.98 | $14.94 – $68.33 |
| 4 | Bcbs Tx marketplace facility · percent of total billed charges · outpatientfrom % of charges | $18.32 | $29.98 | $14.94 – $68.33 |
| 5 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $19.09 | $31.24 | $15.57 – $71.22 |
| 6 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $19.09 | $31.24 | $15.57 – $71.22 |
| 7 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $20.64 | $33.78 | $16.83 – $76.99 |
| 8 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $20.64 | $33.78 | $16.83 – $76.99 |
| 9 | Bcbs Tx traditional facility · percent of total billed charges · inpatientfrom % of charges | $21.67 | $35.46 | $17.67 – $80.84 |
| 10 | Bcbs Tx traditional facility · percent of total billed charges · outpatientfrom % of charges | $21.67 | $35.46 | $17.67 – $80.84 |
| 11 | Aetna hmo/ppo/pos facility · percent of total billed charges · inpatientfrom % of charges | $21.93 | $35.89 | $17.88 – $81.80 |
| 12 | Aetna hmo/ppo/pos facility · percent of total billed charges · outpatientfrom % of charges | $21.93 | $35.89 | $17.88 – $81.80 |
| 13 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $23.22 | $38.00 | $18.94 – $86.62 |
| 14 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $23.22 | $38.00 | $18.94 – $86.62 |
Last updated: Oct 1, 2026
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