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 (PF) (Xylocaine W/Epi) 2 %-1:200,000 injection
Corpus Christi, TX
See all hospitals reporting HCPCS J2004 →Price type
Spohn Hospital Corpus Christi - South’s median price of $50 is 658% above the median hospital's median price ($7), higher than 89% 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.
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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 | UnitedHealthcare hix fee schedule · outpatient | $0.04 | $0.04 | $0.04 – $0.04 |
| 8 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $17.09 | $29.31 | $6.62 – $102.57 |
| 9 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $17.09 | $29.31 | $6.62 – $102.57 |
| 10 | UnitedHealthcare star kids km percent of total billed charges · outpatientfrom % of charges | $17.09 | $29.31 | $6.62 – $102.57 |
| 11 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $17.09 | $29.31 | $6.62 – $102.57 |
| 12 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $17.09 | $29.31 | $6.62 – $102.57 |
| 13 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $32.76 | $56.19 | $12.68 – $196.60 |
| 14 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $42.74 | $73.29 | $16.55 – $256.44 |
| 15 | Molina star km percent of total billed charges · outpatientfrom % of charges | $42.74 | $73.29 | $16.55 – $256.44 |
| 16 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $42.74 | $73.29 | $16.55 – $256.44 |
| 17 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $42.74 | $73.29 | $16.55 – $256.44 |
| 18 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $42.74 | $73.29 | $16.55 – $256.44 |
| 19 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $56.98 | $97.72 | $22.06 – $341.92 |
| 20 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $64.11 | $109.93 | $24.82 – $384.66 |
| 21 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $71.23 | $122.15 | $27.58 – $427.40 |
| 22 | Humana choicecare percent of total billed charges · outpatientfrom % of charges | $71.23 | $122.15 | $27.58 – $427.40 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $83.34 | $142.91 | $31.99 – $504.33 |
| 24 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $88.33 | $151.47 | $34.20 – $529.98 |
| 25 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $92.60 | $158.80 | $35.86 – $555.62 |
Last updated: Jan 13, 2026
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