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-EPINEPHRINE DENTAL 2 %-1:100000 INJ SOLN
6535 Nemours Parkway
See all hospitals reporting HCPCS J2004 →Price type
Nemours Children's Hospital’s median price of $10 is 55% above the median hospital's median price ($7), higher than 55% 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, 11 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 all fee schedule · outpatient | $0.42 | $1.21 | $0.01 – $4.00 |
| 2 | UnitedHealthcare all fee schedule · outpatient | $1.68 | $4.85 | $0.04 – $16.00 |
| 3 | Florida Blue my blue network percent of total billed charges · bothfrom % of charges | $8.00 | $8.00 | $8.00 – $8.00 |
| 4 | Cigna all percent of total billed charges · bothfrom % of charges | $8.08 | $8.08 | $8.08 – $8.08 |
| 5 | Florida Blue blue select percent of total billed charges · bothfrom % of charges | $8.20 | $8.20 | $8.20 – $8.20 |
| 6 | Florida Blue hmo percent of total billed charges · bothfrom % of charges | $8.20 | $8.20 | $8.20 – $8.20 |
| 7 | Aetna all percent of total billed charges · inpatientfrom % of charges | $8.80 | $8.80 | $8.80 – $8.80 |
| 8 | Florida Blue network blue percent of total billed charges · bothfrom % of charges | $10.20 | $10.20 | $10.20 – $10.20 |
| 9 | Florida Blue ppo percent of total billed charges · bothfrom % of charges | $11.80 | $11.80 | $11.80 – $11.80 |
| 10 | Florida Blue phs percent of total billed charges · bothfrom % of charges | $12.20 | $12.20 | $12.20 – $12.20 |
| 11 | First Health commercial percent of total billed charges · bothfrom % of charges | $15.60 | $15.60 | $15.60 – $15.60 |
Last updated: Mar 10, 2026
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