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 1.5 /EPINEPHrine PF 1 200000 Inj 10 mL
Visalia, CA
See all hospitals reporting HCPCS J2004 →Price type
Kaweah Health Rehabilitation Hospital’s median price of $17 is 162% above the median hospital's median price ($7), higher than 66% 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, 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 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $13.49 | $18.03 | $7.27 – $46.00 |
| 2 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $14.47 | $19.34 | $7.80 – $49.34 |
| 3 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $14.47 | $19.34 | $7.80 – $49.34 |
| 4 | Blue Cross Blue Shield blue cross commercial facility · other · outpatient | $18.08 | $24.17 | $9.75 – $61.68 |
| 5 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $18.91 | $25.29 | $10.20 – $64.52 |
| 6 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $18.91 | $25.29 | $10.20 – $64.52 |
| 7 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $20.03 | $26.78 | $10.80 – $68.31 |
| 8 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $20.03 | $26.78 | $10.80 – $68.31 |
| 9 | Tricare tricare facility · fee schedule · outpatient | $22.25 | $29.75 | $12.00 – $75.90 |
Last updated: Jul 10, 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.