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 1 %-1:100000 IJ SOLN
Waverly, OH
See all hospitals reporting HCPCS J2004 →Price type
Pike Health Services Inc’s median price of $70 is 961% above the median hospital's median price ($7), higher than 93% 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: 10 payers, 27 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 medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $30.98 | $31.75 | $12.24 – $72.65 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $30.98 | $31.75 | $12.24 – $72.65 |
| 3 | Medical Mutual medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $30.98 | $31.75 | $12.24 – $72.65 |
| 4 | Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $30.98 | $31.75 | $12.24 – $72.65 |
| 5 | Caresource medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $31.60 | $32.38 | $12.48 – $74.10 |
| 6 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $40.02 | $41.01 | $15.81 – $93.84 |
| 7 | Anthem hmo facility · percent of total billed charges · inpatientfrom % of charges | $81.84 | $83.87 | $32.33 – $191.92 |
| 8 | Anthem ppo facility · percent of total billed charges · inpatientfrom % of charges | $81.84 | $83.87 | $32.33 – $191.92 |
| 9 | Anthem hmo facility · percent of total billed charges · outpatientfrom % of charges | $85.07 | $87.18 | $33.60 – $199.49 |
| 10 | Anthem ppo facility · percent of total billed charges · outpatientfrom % of charges | $85.07 | $87.18 | $33.60 – $199.49 |
| 11 | Medical Mutual commercial facility · percent of total billed charges · inpatientfrom % of charges | $92.64 | $94.94 | $36.60 – $217.25 |
| 12 | Medical Mutual commercial facility · percent of total billed charges · outpatientfrom % of charges | $92.64 | $94.94 | $36.60 – $217.25 |
| 13 | Medical Mutual managed care facility · percent of total billed charges · inpatientfrom % of charges | $92.64 | $94.94 | $36.60 – $217.25 |
| 14 | Medical Mutual managed care facility · percent of total billed charges · outpatientfrom % of charges | $92.64 | $94.94 | $36.60 – $217.25 |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $93.46 | $95.78 | $36.92 – $219.16 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $93.46 | $95.78 | $36.92 – $219.16 |
| 17 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $95.65 | $98.03 | $37.78 – $224.31 |
| 18 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $95.65 | $98.03 | $37.78 – $224.31 |
| 19 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $101.20 | $103.71 | $39.98 – $237.32 |
| 20 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $101.20 | $103.71 | $39.98 – $237.32 |
| 21 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $105.07 | $107.68 | $41.51 – $246.41 |
| 22 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $105.07 | $107.68 | $41.51 – $246.41 |
| 23 | UnitedHealthcare all plans facility · percent of total billed charges · outpatientfrom % of charges | $108.17 | $110.86 | $42.73 – $253.67 |
| 24 | Anthem hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $108.43 | $111.12 | $42.83 – $254.28 |
| 25 | Anthem hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $111.40 | $114.16 | $44.00 – $261.24 |
Last updated: Aug 19, 2026
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