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
INJECTION, LIDOCAINE HCL WITH EPINEPHRINE, 1 MG
Lodi, CA
See all hospitals reporting HCPCS J2004 →Price type
Lodi Memorial Hospital Association Inc’s median price of $3 is 52% below the median hospital's median price ($7), higher than 46% 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: 8 payers, 16 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 | Cigna cigna- all plans fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Aetna aetna - all plans fee schedule · outpatient | $0.02 | $0.02 | $0.01 – $0.02 |
| 4 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 5 | Blue Cross Blue Shield blue cross non-mcs - all other plans fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 6 | UnitedHealthcare uhc hmo fee schedule · outpatient | $0.12 | $0.07 | $0.01 – $0.12 |
| 7 | UnitedHealthcare uhc jll fee schedule · outpatient | $0.12 | $0.07 | $0.01 – $0.12 |
| 8 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $51.84 | $62.54 | $0.40 – $135.25 |
| 9 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $53.76 | $64.86 | $0.42 – $140.26 |
| 10 | Kaiser kaiser commercial - all other plans percent of total billed charges · outpatientfrom % of charges | $65.60 | $79.14 | $0.51 – $171.15 |
| 11 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $66.42 | $80.12 | $0.51 – $173.28 |
| 12 | MultiPlan multiplan- all plans percent of total billed charges · outpatientfrom % of charges | $11.90 | $89.47 | $0.99 – $333.95 |
| 13 | Kaiser kaiser mcal fee schedule · outpatient | $14.00 | $111.57 | $1.24 – $417.44 |
| 14 | Medicaid medi-cal fee schedule · outpatient | $14.00 | $111.57 | $1.24 – $417.44 |
| 15 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $131.20 | $158.27 | $1.02 – $342.30 |
| 16 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $144.00 | $173.72 | $1.12 – $375.70 |
Last updated: Aug 2, 2026
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