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
LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN
Plainsboro, NJ
See all hospitals reporting HCPCS J2004 →Price type
Penn Medicine Princeton Medical Center’s median price of $12 is 86% above the median hospital's median price ($7), higher than 60% 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: 9 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 | Blue Cross Blue Shield horizon blue cross of nj-exchange facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Blue Cross Blue Shield horizon blue cross of nj-hmo pos and direct access facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Blue Cross Blue Shield horizon blue cross of nj-indemnity facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Blue Cross Blue Shield horizon blue cross of nj-ppo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Aetna Better Health aetna better health facility · percent of total billed charges · outpatientfrom % of charges | $1.66 | $2.16 | $0.09 – $6.92 |
| 6 | WellCare wellcare facility · other · outpatient | $1.83 | $2.38 | $0.10 – $7.61 |
| 7 | Aetna aetna medicare hmo facility · other · outpatient | $2.63 | $3.42 | $0.15 – $10.95 |
| 8 | Blue Cross Blue Shield horizon blue cross of nj-medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $3.62 | $4.71 | $0.20 – $15.07 |
| 9 | Aetna aetna automobile network facility · percent of total billed charges · outpatientfrom % of charges | $4.50 | $5.86 | $0.25 – $18.75 |
| 10 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.50 | $5.86 | $0.25 – $18.75 |
| 11 | Aetna aetna workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $4.50 | $5.86 | $0.25 – $18.75 |
| 12 | Aetna aetna whole health facility · other · outpatient | $5.20 | $6.77 | $0.29 – $21.67 |
| 13 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $6.74 | $8.78 | $0.37 – $28.09 |
| 14 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $6.74 | $8.78 | $0.37 – $28.09 |
| 15 | Blue Cross Blue Shield horizon casuality workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $8.69 | $11.31 | $0.48 – $36.19 |
| 16 | Blue Cross Blue Shield horizon casuality pip facility · percent of total billed charges · outpatientfrom % of charges | $10.46 | $13.62 | $0.58 – $43.58 |
| 17 | Aetna aetna rental network facility · percent of total billed charges · inpatientfrom % of charges | $12.51 | $16.28 | $0.69 – $52.12 |
| 18 | Aetna aetna rental network facility · percent of total billed charges · outpatientfrom % of charges | $12.51 | $16.28 | $0.69 – $52.12 |
| 19 | UnitedHealthcare oxford facility · percent of total billed charges · outpatientfrom % of charges | $13.50 | $17.58 | $0.75 – $56.25 |
| 20 | UnitedHealthcare unitedhealthcare facility · percent of total billed charges · outpatientfrom % of charges | $13.50 | $17.58 | $0.75 – $56.25 |
| 21 | UnitedHealthcare unitedhealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $13.50 | $17.58 | $0.75 – $56.25 |
| 22 | Blue Cross Blue Shield horizon casuality pip facility · percent of total billed charges · inpatientfrom % of charges | $13.54 | $17.63 | $0.75 – $56.41 |
| 23 | Aetna aetna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $14.99 | $19.52 | $0.83 – $62.47 |
| 24 | Aetna aetna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $14.99 | $19.52 | $0.83 – $62.48 |
| 25 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $18.00 | $23.43 | $1.00 – $75.00 |
Last updated: Mar 20, 2026
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