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 2 %-1:200000 SOLN per 1 mg
Breese, IL
See all hospitals reporting HCPCS J2004 →Price type
St Josephs Hospital Hospital Sisters Third Order Of St Francis’s median price of $0 is 98% below the median hospital's median price ($7), higher than 32% 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: 6 payers, 9 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 | UnitedHealthcare all commercial united healthcare fee schedule · both | $0.07 | $0.07 | $0.07 – $0.07 |
| 2 | Aetna aetna hshs percent of total billed charges · bothfrom % of charges | $0.11 | $0.13 | $0.10 – $0.17 |
| 3 | Aetna all commercial aetna percent of total billed charges · bothfrom % of charges | $0.13 | $0.15 | $0.11 – $0.20 |
| 4 | First Health all commercial first health network percent of total billed charges · bothfrom % of charges | $0.13 | $0.15 | $0.12 – $0.21 |
| 5 | Cigna all commercial cigna percent of total billed charges · bothfrom % of charges | $0.14 | $0.16 | $0.12 – $0.21 |
| 6 | MultiPlan all commercial multiplan percent of total billed charges · bothfrom % of charges | $0.15 | $0.18 | $0.14 – $0.24 |
| 7 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $0.18 | $0.21 | $0.16 – $0.28 |
| 8 | Bcbs Il bcbs il blue choice plans percent of total billed charges · bothfrom % of charges | $24.25 | $24.25 | $24.25 – $24.25 |
| 9 | Bcbs Il bcbs of illinois ppo percent of total billed charges · bothfrom % of charges | $26.90 | $26.90 | $26.90 – $26.90 |
Last updated: Mar 24, 2026
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