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
Tc Lidocaine Hcl With Epinephrine, 1 Mg, Inj
Windsor, VT
See all hospitals reporting HCPCS J2004 →Price type
Mt. Ascutney Hospital and Health Center’s median price of $2 is 70% below the median hospital's median price ($7), higher than 44% 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, 5 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 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2.00 | $2.00 | $2.00 – $2.00 |
| 3 | Bcbs Vt commercial percent of total billed charges · outpatientfrom % of charges | $2.00 | $2.00 | $2.00 – $2.00 |
| 4 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $2.00 | $2.00 | $2.00 – $2.00 |
| 5 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $2.00 | $2.00 | $2.00 – $2.00 |
Last updated: Aug 25, 2026
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