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 (Xylocaine W/Epi) 1 %-1:100000 injection 1 mL
Beeville, TX
See all hospitals reporting HCPCS J2004 →Price type
Spohn Hospital Beeville’s median price of $23 is 250% above the median hospital's median price ($7), higher than 71% 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, 30 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $0.03 | $0.03 | $0.03 – $0.03 |
| 2 | Bcbs Tx heb fee schedule · outpatient | $0.03 | $0.03 | $0.03 – $0.03 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $0.03 | $0.03 | $0.03 – $0.03 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 6 | UnitedHealthcare all payer fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 7 | UnitedHealthcare hix fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 8 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $8.19 | $8.98 | $0.72 – $21.09 |
| 9 | UnitedHealthcare star kids km percent of total billed charges · outpatientfrom % of charges | $8.19 | $8.98 | $0.72 – $21.09 |
| 10 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $8.19 | $8.98 | $0.72 – $21.09 |
| 11 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $8.19 | $8.98 | $0.72 – $21.09 |
| 12 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $14.33 | $15.72 | $1.26 – $36.90 |
| 13 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $23.55 | $25.83 | $2.07 – $60.63 |
| 14 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $30.72 | $33.69 | $2.70 – $79.09 |
| 15 | Molina star km percent of total billed charges · outpatientfrom % of charges | $30.72 | $33.69 | $2.70 – $79.09 |
| 16 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $30.72 | $33.69 | $2.70 – $79.09 |
| 17 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $30.72 | $33.69 | $2.70 – $79.09 |
| 18 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $30.72 | $33.69 | $2.70 – $79.09 |
| 19 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $40.96 | $44.93 | $3.60 – $105.45 |
| 20 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $46.08 | $50.54 | $4.05 – $118.63 |
| 21 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $51.21 | $56.16 | $4.50 – $131.82 |
| 22 | Humana choicecare percent of total billed charges · outpatientfrom % of charges | $51.21 | $56.16 | $4.50 – $131.82 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $59.91 | $65.71 | $5.22 – $155.54 |
| 24 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $63.50 | $69.64 | $5.58 – $163.45 |
| 25 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $66.57 | $73.01 | $5.85 – $171.36 |
Last updated: Jan 13, 2026
See Lidocaine with epinephrine injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.