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 100000 INJECTION SOLN
Philadelphia, PA
See all hospitals reporting HCPCS J2004 →Price type
The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania’s median price of $10 is 51% above the median hospital's median price ($7), higher than 55% 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: 14 payers, 34 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 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Nj horizon blue cross of nj-indemnity facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Bcbs Nj horizon blue cross of nj-ppo facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Blue Cross Blue Shield ibc traditional facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | Blue Cross Blue Shield personal choice-ibc ppo facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | Cigna cigna new business facility · fee schedule · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 8 | Aetna aetna commercial facility · case rate · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 9 | Aetna aetna commercial hmo with capitation facility · other · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 10 | Aetna aetna hmo facility · fee schedule · outpatient | $0.02 | $0.02 | $0.02 – $0.02 |
| 11 | Optum optum urn-transplant managed medicaid facility · other · outpatient | $2.93 | $4.01 | $0.15 – $13.09 |
| 12 | Highmark highmark facility · other · outpatient | $4.75 | $6.51 | $0.25 – $21.25 |
| 13 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $6.58 | $9.02 | $0.35 – $29.44 |
| 14 | Devoted devoted health medicare advantage facility · other · outpatient | $7.60 | $10.41 | $0.40 – $34.00 |
| 15 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · percent of total billed charges · outpatientfrom % of charges | $7.60 | $10.41 | $0.40 – $34.00 |
| 16 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $7.68 | $10.52 | $0.40 – $34.34 |
| 17 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $7.75 | $10.62 | $0.41 – $34.68 |
| 18 | Cigna cigna lifesource facility · percent of total billed charges · outpatientfrom % of charges | $8.55 | $11.71 | $0.45 – $38.25 |
| 19 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $9.50 | $13.01 | $0.50 – $42.50 |
| 20 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $9.50 | $13.01 | $0.50 – $42.50 |
| 21 | Kaiser kaiser permanente facility · percent of total billed charges · outpatientfrom % of charges | $11.40 | $15.62 | $0.60 – $51.00 |
| 22 | Humana humana choice care facility · percent of total billed charges · inpatientfrom % of charges | $15.20 | $20.82 | $0.80 – $68.00 |
| 23 | Humana humana choice care facility · percent of total billed charges · outpatientfrom % of charges | $15.20 | $20.82 | $0.80 – $68.00 |
| 24 | Optum optum urn-cancer resource services facility · other · outpatient | $15.20 | $20.82 | $0.80 – $68.00 |
| 25 | Optum optum urn-transplant commercial facility · other · outpatient | $15.20 | $20.82 | $0.80 – $68.00 |
Last updated: Feb 10, 2026
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