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 1 %-1:100,000 INJECTION
Burlington, VT
See all hospitals reporting HCPCS J2004 →Price type
University of Vermont Medical Center Inc’s median price of $10 is 57% above the median hospital's median price ($7), higher than 56% 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, 14 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 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $4.52 | $5.86 | $2.17 – $12.21 |
| 2 | Humana tricare facility · percent of total billed charges · inpatientfrom % of charges | $4.52 | $5.86 | $2.17 – $12.21 |
| 3 | Excellus managed medicaid/essential plans facility · percent of total billed charges · inpatientfrom % of charges | $7.75 | $10.04 | $3.72 – $20.92 |
| 4 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $7.75 | $10.04 | $3.72 – $20.92 |
| 5 | Cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $9.69 | $12.54 | $4.64 – $26.15 |
| 6 | Cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $9.69 | $12.54 | $4.64 – $26.15 |
| 7 | Blue Cross Blue Shield hmo facility · percent of total billed charges · inpatientfrom % of charges | $12.60 | $16.31 | $6.04 – $34.00 |
| 8 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $12.60 | $16.31 | $6.04 – $34.00 |
| 9 | Bcbs Vt the vermont health plan/vermont health partnership facility · percent of total billed charges · outpatientfrom % of charges | $12.89 | $16.68 | $6.18 – $34.78 |
| 10 | Bcbs Vt indemnity facility · percent of total billed charges · outpatientfrom % of charges | $13.68 | $17.71 | $6.56 – $36.92 |
| 11 | Excellus commercial facility · percent of total billed charges · inpatientfrom % of charges | $13.74 | $17.79 | $6.59 – $37.10 |
| 12 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14.58 | $18.88 | $6.99 – $39.36 |
| 13 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $15.88 | $20.56 | $7.61 – $42.88 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $15.90 | $20.58 | $7.62 – $42.91 |
Last updated: Oct 12, 2026
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