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 (PF) 1.5 1 200000 INJECTION
Philadelphia, PA
See all hospitals reporting HCPCS J2004 →Price type
Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center’s median price of $9 is 40% above the median hospital's median price ($7), higher than 54% 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: 13 payers, 32 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 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Nj horizon blue cross of nj-indemnity facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Bcbs Nj horizon blue cross of nj-ppo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Blue Cross Blue Shield ibc traditional facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | Cigna cigna new business facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 8 | Aetna aetna commercial facility · case rate · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 9 | Aetna aetna commercial hmo with capitation facility · other · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 10 | Aetna aetna hmo facility · fee schedule · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 11 | UnitedHealthcare unitedhealthcare new business facility · fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 12 | UnitedHealthcare unitedhealthcare non options facility · fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 13 | Highmark highmark facility · other · outpatient | $4.50 | $5.67 | $0.10 – $18.75 |
| 14 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $5.70 | $7.19 | $0.13 – $23.75 |
| 15 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · percent of total billed charges · outpatientfrom % of charges | $7.20 | $9.08 | $0.16 – $30.00 |
| 16 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $7.27 | $9.47 | $0.40 – $30.30 |
| 17 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $8.33 | $10.85 | $0.46 – $34.73 |
| 18 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $9.00 | $11.35 | $0.20 – $37.50 |
| 19 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $9.00 | $11.35 | $0.20 – $37.50 |
| 20 | Humana humana choice care facility · percent of total billed charges · inpatientfrom % of charges | $14.40 | $18.15 | $0.32 – $60.00 |
| 21 | Humana humana choice care facility · percent of total billed charges · outpatientfrom % of charges | $14.40 | $18.15 | $0.32 – $60.00 |
| 22 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · inpatientfrom % of charges | $18.00 | $22.69 | $0.40 – $75.00 |
| 23 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $18.00 | $22.69 | $0.40 – $75.00 |
| 24 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · inpatientfrom % of charges | $18.00 | $22.69 | $0.40 – $75.00 |
| 25 | Clover clover health plan facility · other · outpatient | $18.00 | $22.69 | $0.40 – $75.00 |
Last updated: Mar 19, 2026
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