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 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION
Monroe, NC
See all hospitals reporting HCPCS J2004 →Price type
The Charlotte Mecklenburg Hospital Authority’s median price of $13 is 100% above the median hospital's median price ($7), higher than 61% 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: 12 payers, 39 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 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.03 | $3.94 | $2.63 – $9.33 |
| 2 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.09 | $4.01 | $2.68 – $9.51 |
| 3 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.10 | $4.02 | $2.69 – $9.54 |
| 4 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $6.13 | $7.96 | $5.31 – $18.87 |
| 5 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $6.90 | $8.95 | $5.98 – $21.22 |
| 6 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $7.01 | $9.10 | $6.08 – $21.57 |
| 7 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $7.23 | $9.38 | $6.26 – $22.24 |
| 8 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $7.23 | $9.38 | $6.26 – $22.24 |
| 9 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $7.23 | $9.38 | $6.26 – $22.24 |
| 10 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $8.40 | $10.90 | $7.28 – $25.85 |
| 11 | UnitedHealthcare hmo-ppo managed care other · outpatient | $11.18 | $11.18 | $11.18 – $11.18 |
| 12 | UnitedHealthcare iex commercial other · outpatient | $11.18 | $11.18 | $11.18 – $11.18 |
| 13 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $9.19 | $11.92 | $7.96 – $28.27 |
| 14 | Cigna hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $9.26 | $12.01 | $8.02 – $28.48 |
| 15 | UnitedHealthcare iex commercial percent of total billed charges · inpatientfrom % of charges | $9.31 | $12.07 | $8.06 – $28.62 |
| 16 | Aetna north carolina preferred plus commercial percent of total billed charges · outpatientfrom % of charges | $9.42 | $12.22 | $8.16 – $28.98 |
| 17 | Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges | $9.65 | $12.52 | $8.36 – $29.69 |
| 18 | Cigna commercial nb percent of total billed charges · inpatientfrom % of charges | $10.02 | $13.00 | $8.68 – $30.83 |
| 19 | Cigna commercial nb percent of total billed charges · outpatientfrom % of charges | $10.02 | $13.00 | $8.68 – $30.83 |
| 20 | Aetna north carolina preferred plus commercial percent of total billed charges · inpatientfrom % of charges | $10.39 | $13.48 | $9.00 – $31.97 |
| 21 | Cigna hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $10.51 | $13.63 | $9.10 – $32.32 |
| 22 | Aetna broad network percent of total billed charges · outpatientfrom % of charges | $10.60 | $13.76 | $9.18 – $32.61 |
| 23 | UnitedHealthcare hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $10.97 | $14.24 | $9.50 – $33.75 |
| 24 | Aetna broad network percent of total billed charges · inpatientfrom % of charges | $11.71 | $15.20 | $10.15 – $36.03 |
| 25 | Medcost ultra percent of total billed charges · inpatientfrom % of charges | $12.50 | $16.22 | $10.83 – $38.45 |
Last updated: Dec 4, 2025
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