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 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION
Jasper, GA
See all hospitals reporting HCPCS J2004 →Price type
Piedmont Mountainside’s median price of $54 is 716% above the median hospital's median price ($7), higher than 90% of the 1,683 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, 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 | UnitedHealthcare united healthcare fee schedule · both | $36.00 | $38.86 | $16.00 – $80.00 |
| 2 | UnitedHealthcare united healthcare exchange fee schedule · both | $36.00 | $38.86 | $16.00 – $80.00 |
| 3 | Cigna cigna connect percent of total billed charges · bothfrom % of charges | $45.51 | $43.78 | $17.98 – $69.28 |
| 4 | Blue Cross Blue Shield blue cross hmo percent of total billed charges · bothfrom % of charges | $46.98 | $45.20 | $18.56 – $71.53 |
| 5 | Blue Cross Blue Shield blue cross ppo percent of total billed charges · bothfrom % of charges | $49.37 | $47.49 | $19.50 – $75.16 |
| 6 | Cigna cigna percent of total billed charges · bothfrom % of charges | $63.65 | $61.23 | $25.14 – $96.90 |
| 7 | First Health first health percent of total billed charges · bothfrom % of charges | $74.26 | $71.43 | $29.33 – $113.05 |
| 8 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $84.86 | $81.64 | $33.52 – $129.20 |
| 9 | Phcs phcs percent of total billed charges · bothfrom % of charges | $84.86 | $81.64 | $33.52 – $129.20 |
| 10 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $90.17 | $86.74 | $35.62 – $137.28 |
| 11 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $90.17 | $86.74 | $35.62 – $137.28 |
Last updated: Jul 1, 2026
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