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
J2004 Lidocaine 1.5%/EPINEPHrine PF 1-200,000 Inj 30 mL
Visalia, CA
See all hospitals reporting HCPCS J2004 →Price type
Kaweah Health Medical Center’s median price of $20 is 204% above the median hospital's median price ($7), higher than 69% 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: 6 payers, 11 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 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $15.82 | $20.20 | $7.27 – $46.06 |
| 2 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $16.97 | $21.66 | $7.80 – $49.40 |
| 3 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $16.97 | $21.66 | $7.80 – $49.40 |
| 4 | Blue Cross Blue Shield blue shield hmo facility · other · outpatient | $19.34 | $24.69 | $8.89 – $56.32 |
| 5 | Blue Cross Blue Shield blue cross commercial facility · other · outpatient | $21.31 | $27.21 | $9.80 – $62.05 |
| 6 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $22.19 | $28.33 | $10.20 – $64.60 |
| 7 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $22.19 | $28.33 | $10.20 – $64.60 |
| 8 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $23.49 | $29.99 | $10.80 – $68.40 |
| 9 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $23.49 | $29.99 | $10.80 – $68.40 |
| 10 | Humana humana facility · percent of total billed charges · outpatientfrom % of charges | $26.10 | $33.33 | $12.00 – $76.00 |
| 11 | Tricare tricare facility · fee schedule · outpatient | $26.10 | $33.33 | $12.00 – $76.00 |
Last updated: Jul 14, 2026
See Lidocaine with epinephrine injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.