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 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION
Lexington, NC
See all hospitals reporting HCPCS J2004 →Price type
Lexington Medical Center’s median price of $32 is 383% above the median hospital's median price ($7), higher than 78% 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: 11 payers, 35 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid managed care percent of total billed charges · outpatientfrom % of charges | $12.71 | $16.45 | $4.78 – $47.40 |
| 2 | WellCare medicaid managed care percent of total billed charges · outpatientfrom % of charges | $12.71 | $16.45 | $4.78 – $47.40 |
| 3 | Medcost employee managed care percent of total billed charges · inpatientfrom % of charges | $14.63 | $18.93 | $5.50 – $54.55 |
| 4 | Blue Cross Blue Shield blue local individual percent of total billed charges · outpatientfrom % of charges | $18.50 | $23.95 | $6.95 – $69.00 |
| 5 | Medcost employee managed care percent of total billed charges · outpatientfrom % of charges | $18.57 | $24.04 | $6.98 – $69.25 |
| 6 | Aetna ivl exchange percent of total billed charges · inpatientfrom % of charges | $18.97 | $24.55 | $7.13 – $70.74 |
| 7 | Ambetter managed care percent of total billed charges · outpatientfrom % of charges | $19.17 | $24.81 | $7.20 – $71.49 |
| 8 | Aetna ivl exchange percent of total billed charges · outpatientfrom % of charges | $19.97 | $25.85 | $7.50 – $74.48 |
| 9 | Oscar managed care percent of total billed charges · outpatientfrom % of charges | $21.38 | $27.67 | $8.03 – $79.71 |
| 10 | Medcost ultra managed care percent of total billed charges · inpatientfrom % of charges | $22.58 | $29.22 | $8.48 – $84.20 |
| 11 | Medcost ultra managed care percent of total billed charges · outpatientfrom % of charges | $25.05 | $32.42 | $9.41 – $93.41 |
| 12 | Blue Cross Blue Shield hpn percent of total billed charges · outpatientfrom % of charges | $26.07 | $33.74 | $9.79 – $97.20 |
| 13 | UnitedHealthcare iex individual percent of total billed charges · outpatientfrom % of charges | $26.25 | $33.98 | $9.86 – $97.90 |
| 14 | Cigna managed care percent of total billed charges · outpatientfrom % of charges | $29.06 | $37.61 | $10.92 – $108.36 |
| 15 | Oscar managed care percent of total billed charges · inpatientfrom % of charges | $29.39 | $38.04 | $11.04 – $109.60 |
| 16 | Blue Cross Blue Shield blue value percent of total billed charges · outpatientfrom % of charges | $29.45 | $38.11 | $11.06 – $109.80 |
| 17 | Cigna managed care percent of total billed charges · inpatientfrom % of charges | $29.59 | $38.30 | $11.12 – $110.35 |
| 18 | UnitedHealthcare managed care percent of total billed charges · outpatientfrom % of charges | $29.93 | $38.73 | $11.24 – $111.60 |
| 19 | Blue Cross Blue Shield hmo/ppo percent of total billed charges · outpatientfrom % of charges | $30.96 | $40.07 | $11.63 – $115.46 |
| 20 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $39.55 | $51.18 | $14.86 – $147.47 |
| 21 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $39.60 | $51.25 | $14.88 – $147.67 |
| 22 | Medcost mbs and leased managed care percent of total billed charges · outpatientfrom % of charges | $43.42 | $56.20 | $16.32 – $161.92 |
| 23 | Medcost mbs and leased managed care percent of total billed charges · inpatientfrom % of charges | $44.69 | $57.84 | $16.79 – $166.65 |
| 24 | Aetna nc+ preferred percent of total billed charges · inpatientfrom % of charges | $46.29 | $59.92 | $17.39 – $172.63 |
| 25 | Aetna nc+ preferred percent of total billed charges · outpatientfrom % of charges | $46.29 | $59.92 | $17.39 – $172.63 |
Last updated: Oct 8, 2025
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