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 2 /EPI 1 200000 10ML
Odessa, TX
See all hospitals reporting HCPCS J2004 →Price type
Odessa Texas Hospital Company LLC’s median price of $377 is 5637% above the median hospital's median price ($7), higher than 99% 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, 28 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 | Superior Healthplan superior health plan medicaid facility · per diem · outpatient | $95.90 | $405.55 | $4.95 – $1,736 |
| 2 | Ambetter superior ambetter hix facility · other · outpatient | $133.59 | $564.96 | $6.90 – $2,418 |
| 3 | Bcbs Tn bcbs of texas tennessee facility · percent of total billed charges · outpatientfrom % of charges | $178.48 | $754.78 | $9.22 – $3,230 |
| 4 | Superior Healthplan superior health plan star uhrip facility · per diem · outpatient | $187.01 | $790.83 | $9.65 – $3,384 |
| 5 | Superior Healthplan superior health plan star plus uhrip facility · per diem · outpatient | $265.64 | $1,123 | $13.71 – $4,807 |
| 6 | Bcbs Tn bcbs of texas tennessee facility · percent of total billed charges · inpatientfrom % of charges | $303.68 | $1,284 | $15.69 – $5,496 |
| 7 | Aetna aetna trs (teachers retirement system) facility · percent of total billed charges · inpatientfrom % of charges | $355.63 | $1,504 | $18.37 – $6,436 |
| 8 | Aetna aetna trs (teachers retirement system) facility · percent of total billed charges · outpatientfrom % of charges | $355.63 | $1,504 | $18.37 – $6,436 |
| 9 | Cigna cigna nb network facility · percent of total billed charges · outpatientfrom % of charges | $403.58 | $1,707 | $20.85 – $7,304 |
| 10 | Bcbs Tx bcbs of texas blue advantage hmo hix facility · percent of total billed charges · outpatientfrom % of charges | $407.58 | $1,724 | $21.05 – $7,376 |
| 11 | Aetna aetna west tx preferred new bus facility · percent of total billed charges · inpatientfrom % of charges | $448.87 | $1,898 | $23.19 – $8,123 |
| 12 | Aetna aetna west tx preferred new bus facility · percent of total billed charges · outpatientfrom % of charges | $448.87 | $1,898 | $23.19 – $8,123 |
| 13 | Bcbs Tx bcbs of texas hmo facility · percent of total billed charges · outpatientfrom % of charges | $480.83 | $2,033 | $24.84 – $8,702 |
| 14 | Bcbs Tx bcbs of texas ppo pos facility · percent of total billed charges · outpatientfrom % of charges | $531.45 | $2,247 | $27.45 – $9,618 |
| 15 | Bcbs Tx bcbs of texas traditional facility · percent of total billed charges · outpatientfrom % of charges | $582.06 | $2,461 | $30.07 – $10,534 |
| 16 | Cigna cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $644.66 | $2,726 | $33.30 – $11,666 |
| 17 | Molina molina hix facility · other · outpatient | $665.98 | $2,816 | $34.40 – $12,052 |
| 18 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $688.62 | $2,912 | $35.57 – $12,462 |
| 19 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $760.54 | $3,216 | $39.28 – $13,764 |
| 20 | First Health first health workers comp facility · other · outpatient | $932.37 | $3,677 | $48.16 – $15,668 |
| 21 | Aetna aetna workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $932.37 | $3,943 | $48.16 – $16,873 |
| 22 | First Health first health commercial facility · percent of total billed charges · inpatientfrom % of charges | $932.37 | $3,943 | $48.16 – $16,873 |
| 23 | First Health first health commercial facility · percent of total billed charges · outpatientfrom % of charges | $932.37 | $3,943 | $48.16 – $16,873 |
| 24 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $935.03 | $3,954 | $48.30 – $16,921 |
| 25 | Aetna aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $957.67 | $4,050 | $49.47 – $17,331 |
Last updated: Mar 4, 2026
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