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 0.5 %-1:200000 SOLN per 1 mg
O'Fallon, IL
See all hospitals reporting HCPCS J2004 →Price type
St Elizabeths Hospital Of The Hospital Sisters Of The Third Order Of St Francis’s median price of $0 is 97% below the median hospital's median price ($7), higher than 34% 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: 7 payers, 13 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 | Cigna all commercial cigna fee schedule · both | $0.02 | $0.02 | $0.02 – $0.02 |
| 2 | UnitedHealthcare all commercial united healthcare fee schedule · both | $0.07 | $0.07 | $0.07 – $0.07 |
| 3 | UnitedHealthcare united healthcare behavioral health fee schedule · both | $0.07 | $0.07 | $0.07 – $0.07 |
| 4 | Aetna all commercial aetna percent of total billed charges · bothfrom % of charges | $0.08 | $0.18 | $0.03 – $0.93 |
| 5 | Aetna aetna hshs percent of total billed charges · bothfrom % of charges | $0.17 | $0.39 | $0.07 – $2.02 |
| 6 | First Health all commercial first health network percent of total billed charges · bothfrom % of charges | $0.22 | $0.52 | $0.10 – $2.67 |
| 7 | MultiPlan all commercial multiplan percent of total billed charges · bothfrom % of charges | $0.23 | $0.56 | $0.10 – $2.88 |
| 8 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $0.29 | $0.70 | $0.13 – $3.60 |
| 9 | Bcbs Il blue cross blue shield il hmo percent of total billed charges · bothfrom % of charges | $18.00 | $18.00 | $18.00 – $18.00 |
| 10 | Bcbs Il blue cross blue shield il hmo 470 percent of total billed charges · bothfrom % of charges | $18.00 | $18.00 | $18.00 – $18.00 |
| 11 | Blue Cross Blue Shield blue cross blue shield il hmo sihca percent of total billed charges · bothfrom % of charges | $18.00 | $18.00 | $18.00 – $18.00 |
| 12 | Bcbs Il bcbs of illinois ppo percent of total billed charges · bothfrom % of charges | $21.55 | $21.55 | $21.55 – $21.55 |
| 13 | Bcbs Il bcbs il blue choice plans percent of total billed charges · bothfrom % of charges | $23.60 | $23.60 | $23.60 – $23.60 |
Last updated: Mar 24, 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.