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 [10427]
Geneva, OH
See all hospitals reporting HCPCS J2004 →Price type
University Hospitals Health System’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: 13 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 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.85 | $4.36 | $1.16 – $9.91 |
| 2 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.85 | $4.36 | $1.16 – $9.91 |
| 3 | Cigna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.85 | $4.36 | $1.16 – $9.91 |
| 4 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.85 | $4.36 | $1.16 – $9.91 |
| 5 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.85 | $4.36 | $1.16 – $9.91 |
| 6 | Medical Mutual medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.85 | $4.36 | $1.16 – $9.91 |
| 7 | Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.85 | $4.36 | $1.16 – $9.91 |
| 8 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.85 | $4.36 | $1.16 – $9.91 |
| 9 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.85 | $4.36 | $1.16 – $9.91 |
| 10 | Ambetter commercial facility · percent of total billed charges · outpatientfrom % of charges | $6.93 | $7.85 | $2.10 – $17.84 |
| 11 | Caresource marketplace facility · percent of total billed charges · outpatientfrom % of charges | $6.93 | $7.85 | $2.10 – $17.84 |
| 12 | Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges | $10.67 | $12.10 | $3.23 – $27.50 |
| 13 | Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges | $10.67 | $12.10 | $3.23 – $27.50 |
| 14 | Cigna oap commercial facility · percent of total billed charges · outpatientfrom % of charges | $11.48 | $13.02 | $3.47 – $29.58 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $12.83 | $14.54 | $3.88 – $33.05 |
| 16 | Medical Mutual traditional/health ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $13.46 | $15.26 | $4.07 – $34.69 |
| 17 | Medical Mutual traditional/health ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $13.46 | $15.26 | $4.07 – $34.69 |
| 18 | Medical Mutual medflex commercial facility · percent of total billed charges · inpatientfrom % of charges | $15.52 | $17.60 | $4.70 – $39.99 |
| 19 | Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges | $15.56 | $17.64 | $4.71 – $40.09 |
| 20 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $15.96 | $18.10 | $4.83 – $41.13 |
| 21 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $15.96 | $18.10 | $4.83 – $41.13 |
| 22 | Anthem tiered/pathway commercial facility · percent of total billed charges · outpatientfrom % of charges | $16.42 | $18.62 | $4.97 – $42.32 |
| 23 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $16.42 | $18.62 | $4.97 – $42.32 |
| 24 | Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $16.46 | $18.66 | $4.98 – $42.41 |
| 25 | Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $16.52 | $18.73 | $5.00 – $42.56 |
Last updated: Jul 14, 2026
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