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 SOLU
Lowell, MA
See all hospitals reporting HCPCS J2004 →Price type
Lowell General Hospital’s median price of $6 is 5% below the median hospital's median price ($7), higher than 50% 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, 10 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 | Amerihealth Caritas hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $4.65 | $4.68 | $2.69 – $6.65 |
| 2 | First Health hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $4.65 | $4.68 | $2.69 – $6.65 |
| 3 | Cigna hb xr thp ppo lgh percent of total billed charges · bothfrom % of charges | $5.31 | $5.34 | $3.08 – $7.60 |
| 4 | Cigna hb xr cigna lgh percent of total billed charges · bothfrom % of charges | $6.64 | $6.68 | $3.85 – $9.51 |
| 5 | UnitedHealthcare hb xr uhc lgh percent of total billed charges · bothfrom % of charges | $11.02 | $11.09 | $6.38 – $15.78 |
| 6 | MultiPlan hb xr claritev lgh percent of total billed charges · bothfrom % of charges | $11.06 | $11.12 | $6.40 – $15.83 |
| 7 | Aetna hb xr aetna hmo ppo lgh percent of total billed charges · bothfrom % of charges | $12.22 | $12.29 | $7.07 – $17.49 |
| 8 | Blue Cross Blue Shield hb xr bcbsma ppo ppa lgh percent of total billed charges · bothfrom % of charges | $12.50 | $12.58 | $7.24 – $17.90 |
| 9 | Blue Cross Blue Shield hb xr bcbsma hmo lgh percent of total billed charges · bothfrom % of charges | $12.86 | $12.94 | $7.45 – $18.41 |
| 10 | Medicaid hb xr medicaid limited cmsp 100% percent of total billed charges · bothfrom % of charges | $13.28 | $13.36 | $7.69 – $19.01 |
Last updated: Apr 1, 2026
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