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
Corpus Christi, TX
See all hospitals reporting HCPCS J2004 →Price type
Spohn Hospital Corpus Christi - Shoreline’s median price of $32 is 381% above the median hospital's median price ($7), higher than 78% 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, 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 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 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 | $0.03 | $0.03 | $0.03 – $0.03 |
| 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 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $13.24 | $16.67 | $1.08 – $43.60 |
| 8 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $13.24 | $16.67 | $1.08 – $43.60 |
| 9 | UnitedHealthcare star kids km percent of total billed charges · outpatientfrom % of charges | $13.24 | $16.67 | $1.08 – $43.60 |
| 10 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $13.24 | $16.67 | $1.08 – $43.60 |
| 11 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $13.24 | $16.67 | $1.08 – $43.60 |
| 12 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $25.37 | $31.96 | $2.07 – $83.57 |
| 13 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $33.10 | $41.69 | $2.70 – $109.00 |
| 14 | Molina star km percent of total billed charges · outpatientfrom % of charges | $33.10 | $41.69 | $2.70 – $109.00 |
| 15 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $33.10 | $41.69 | $2.70 – $109.00 |
| 16 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $33.10 | $41.69 | $2.70 – $109.00 |
| 17 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $44.13 | $55.59 | $3.60 – $145.34 |
| 18 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $49.65 | $62.54 | $4.05 – $163.50 |
| 19 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $55.17 | $69.49 | $4.50 – $181.67 |
| 20 | Humana choicecare percent of total billed charges · outpatientfrom % of charges | $55.17 | $69.49 | $4.50 – $181.67 |
| 21 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $64.55 | $81.30 | $5.22 – $214.37 |
| 22 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $68.41 | $86.17 | $5.58 – $225.27 |
| 23 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $71.72 | $90.34 | $5.85 – $236.17 |
| 24 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $76.13 | $95.89 | $6.21 – $250.71 |
| 25 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $76.13 | $95.89 | $6.21 – $250.71 |
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.