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
Byron, GA
See all hospitals reporting HCPCS J2004 →Price type
The Medical Center of Peach County Inc’s median price of $22 is 238% above the median hospital's median price ($7), higher than 71% 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, 27 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 medicare advantage percent of total billed charges · outpatientfrom % of charges | $8.52 | $11.36 | $4.22 – $31.76 |
| 2 | Anthem medicare advantage percent of total billed charges · outpatientfrom % of charges | $8.52 | $11.36 | $4.22 – $31.76 |
| 3 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $8.52 | $11.36 | $4.22 – $31.76 |
| 4 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $8.52 | $11.36 | $4.22 – $31.76 |
| 5 | Caresource medicare advantage percent of total billed charges · outpatientfrom % of charges | $8.69 | $11.58 | $4.31 – $32.40 |
| 6 | Clover medicare advantage percent of total billed charges · outpatientfrom % of charges | $8.69 | $11.58 | $4.31 – $32.40 |
| 7 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $12.17 | $16.23 | $6.03 – $45.38 |
| 8 | Anthem hmo/pos percent of total billed charges · inpatientfrom % of charges | $17.74 | $23.66 | $8.79 – $66.17 |
| 9 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $17.74 | $23.66 | $8.79 – $66.17 |
| 10 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $20.68 | $27.58 | $10.25 – $77.14 |
| 11 | Aetna hmo/pos percent of total billed charges · outpatientfrom % of charges | $23.92 | $31.91 | $11.86 – $89.24 |
| 12 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $23.92 | $31.91 | $11.86 – $89.24 |
| 13 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $25.55 | $34.07 | $12.66 – $95.29 |
| 14 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $26.36 | $35.15 | $13.07 – $98.31 |
| 15 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $26.36 | $35.15 | $13.07 – $98.31 |
| 16 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $29.52 | $39.37 | $14.63 – $110.11 |
| 17 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $29.52 | $39.37 | $14.63 – $110.11 |
| 18 | Anthem hmo/pos percent of total billed charges · outpatientfrom % of charges | $31.54 | $42.06 | $15.63 – $117.64 |
| 19 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $31.54 | $42.06 | $15.63 – $117.64 |
| 20 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $32.44 | $43.26 | $16.08 – $121.00 |
| 21 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $32.44 | $43.26 | $16.08 – $121.00 |
| 22 | Humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $34.47 | $45.97 | $17.09 – $128.56 |
| 23 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $34.47 | $45.97 | $17.09 – $128.56 |
| 24 | Humana ppo percent of total billed charges · inpatientfrom % of charges | $34.47 | $45.97 | $17.09 – $128.56 |
| 25 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $34.47 | $45.97 | $17.09 – $128.56 |
Last updated: Nov 19, 2025
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