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) 2 %-1:200,000 INJECTION
Prineville, OR
See all hospitals reporting HCPCS J2004 →Price type
St. Charles Prineville’s median price of $63 is 853% above the median hospital's median price ($7), higher than 92% 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, 15 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 | Kaiser oregon medicaid cco percent of total billed charges · outpatientfrom % of charges | $1.37 | $1.54 | $1.19 – $2.05 |
| 2 | Aetna medicare percent of total billed charges · bothfrom % of charges | $25.09 | $25.09 | $25.09 – $25.09 |
| 3 | Cigna medicare percent of total billed charges · bothfrom % of charges | $25.09 | $25.09 | $25.09 – $25.09 |
| 4 | Devoted medicare percent of total billed charges · bothfrom % of charges | $25.09 | $25.09 | $25.09 – $25.09 |
| 5 | Humana medicare percent of total billed charges · bothfrom % of charges | $25.09 | $25.09 | $25.09 – $25.09 |
| 6 | Kaiser medicare percent of total billed charges · bothfrom % of charges | $25.09 | $25.09 | $25.09 – $25.09 |
| 7 | Medicare medicare percent of total billed charges · bothfrom % of charges | $25.09 | $25.09 | $25.09 – $25.09 |
| 8 | UnitedHealthcare medicare percent of total billed charges · bothfrom % of charges | $25.09 | $25.09 | $25.09 – $25.09 |
| 9 | WellCare medicare percent of total billed charges · bothfrom % of charges | $25.09 | $25.09 | $25.09 – $25.09 |
| 10 | Tricare tricare percent of total billed charges · bothfrom % of charges | $27.34 | $27.34 | $27.34 – $27.34 |
| 11 | Blue Cross Blue Shield blue cross medicare percent of total billed charges · bothfrom % of charges | $27.60 | $27.60 | $27.60 – $27.60 |
| 12 | Cigna cigna percent of total billed charges · bothfrom % of charges | $56.46 | $56.46 | $56.46 – $56.46 |
| 13 | Kaiser first choice health network percent of total billed charges · bothfrom % of charges | $77.61 | $77.61 | $77.61 – $77.61 |
| 14 | Aetna aetna percent of total billed charges · bothfrom % of charges | $77.97 | $77.97 | $77.97 – $77.97 |
| 15 | First Health first health percent of total billed charges · bothfrom % of charges | $87.83 | $87.83 | $87.83 – $87.83 |
Last updated: Apr 1, 2026
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