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
Alexandria, LA
See all hospitals reporting HCPCS J2004 →Price type
St. Frances Cabrini Hospital’s median price of $44 is 569% above the median hospital's median price ($7), higher than 86% 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: 10 payers, 19 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 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $11.99 | $16.44 | $5.01 – $58.92 |
| 2 | Amerihealth Caritas km percent of total billed charges · outpatientfrom % of charges | $11.99 | $16.44 | $5.01 – $58.92 |
| 3 | Humana healthy horizons km percent of total billed charges · outpatientfrom % of charges | $11.99 | $16.44 | $5.01 – $58.92 |
| 4 | UnitedHealthcare km percent of total billed charges · outpatientfrom % of charges | $11.99 | $16.44 | $5.01 – $58.92 |
| 5 | Aetna km percent of total billed charges · outpatientfrom % of charges | $12.99 | $17.81 | $5.43 – $63.83 |
| 6 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $23.98 | $32.89 | $10.03 – $117.85 |
| 7 | Bcbs La hmo percent of total billed charges · outpatientfrom % of charges | $49.97 | $68.52 | $20.90 – $245.52 |
| 8 | Bcbs La mm percent of total billed charges · outpatientfrom % of charges | $49.97 | $68.52 | $20.90 – $245.52 |
| 9 | Bcbs La ppo percent of total billed charges · outpatientfrom % of charges | $49.97 | $68.52 | $20.90 – $245.52 |
| 10 | Bcbs La trad percent of total billed charges · outpatientfrom % of charges | $49.97 | $68.52 | $20.90 – $245.52 |
| 11 | Humana choicecare percent of total billed charges · outpatientfrom % of charges | $53.97 | $74.00 | $22.57 – $265.16 |
| 12 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $58.97 | $80.86 | $24.66 – $289.71 |
| 13 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $59.97 | $82.23 | $25.08 – $294.63 |
| 14 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $59.97 | $82.23 | $25.08 – $294.63 |
| 15 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $59.97 | $82.23 | $25.08 – $294.63 |
| 16 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $59.97 | $82.23 | $25.08 – $294.63 |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $70.96 | $97.30 | $29.67 – $348.64 |
| 18 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $84.95 | $116.49 | $35.53 – $417.39 |
| 19 | UnitedHealthcare va ccn mm percent of total billed charges · outpatientfrom % of charges | $99.95 | $137.05 | $41.80 – $491.05 |
Last updated: Jan 13, 2026
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